1447459524 NPI number — DR. ERIN H. HOLSTON SINGH N.D.

Table of content: DR. ROBERT M THOMAS JR. M. D, (NPI 1154337095)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447459524 NPI number — DR. ERIN H. HOLSTON SINGH N.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOLSTON SINGH
Provider First Name:
ERIN
Provider Middle Name:
H.
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
N.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HOLSTON
Provider Other First Name:
ERIN
Provider Other Middle Name:
H.
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
N.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1447459524
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/13/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2460 FAIRMOUNT BLVD
Provider Second Line Business Mailing Address:
#219
Provider Business Mailing Address City Name:
CLEVELAND HEIGHTS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44106-3171
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
216-707-9137
Provider Business Mailing Address Fax Number:
216-707-0162

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2460 FAIRMOUNT BLVD
Provider Second Line Business Practice Location Address:
#219
Provider Business Practice Location Address City Name:
CLEVELAND HEIGHTS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44106-3171
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-707-9137
Provider Business Practice Location Address Fax Number:
216-707-0162
Provider Enumeration Date:
07/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 175F00000X , with the licence number:  099.0083551 , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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