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Individual

DR. CHRISTOPHER MATTHEW HOLLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3403 E RAYMOND ST STE A, INDIANAPOLIS, IN 46203-4783
(317) 957-2070
Mailing address
3403 E RAYMOND ST STE A, INDIANAPOLIS, IN 46203-4783
(317) 957-2000

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
00234
KY
213E00000X
Podiatrist
Primary
07001439A
IN
213E00000X
Podiatrist
234
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
234
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000067936
BCBS
KY
01
1115102
PASSPORT
KY
01
1221960002
PALMETTO GBA-DMERC
KY
05
300092538
IN
01
480026332
RAILROAD MEDICARE
KY
05
80002348
KY
01
90013897
KYHEALTH CHOICES-DME
KY
Enumeration date
08/18/2005
Last updated
03/04/2025
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