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CRAIG D HOLMAN CHARTERED NPI 1609085455


NPI Information

NPI: 1609085455
Provider Name: CRAIG D HOLMAN CHARTERED

Other Name: MAGIC VALLEY FOOT & ANKLE SPECIALIST

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
496 SHOUP AVE W # B
TWIN FALLS, ID
ZIP 83301
Phone: (208) 734-7676
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CRAIG D HOLMAN CHARTERED is a podiatrist in Twin Falls, ID. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. CRAIG D HOLMAN CHARTERED NPI is 1609085455. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Magic Valley Foot & Ankle Specialist.

The provider's business location address is:

496 SHOUP AVE W # B
TWIN FALLS, ID
ZIP 83301-043
Phone: (208) 734-7676
Fax: (208) 736-8378

The provider's authorized official is Craig D Holman .
The authorized official title is Owner and has the following contact phone number (208) 734-7676.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 6/21/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristP119IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P9343OTHERIDAHOBLUE CROSS OF IDAHO
2185440600OTHERIDAHOUS DEPT OF LABOR
34134570001OTHERIDAHODMERC
4=========OTHERIDAHOTAX ID NUMER
5000010152611OTHERIDAHOREGENCE BLUE SHIELD OF ID
6480031477OTHERIDAHORAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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