Individual
STEPHEN J HOLKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N. BROADWAY STREET, OAKTOWN, IN 47561-0269
(812) 745-4151
Mailing address
100 N. BROADWAY STREET, PO BOX 269, OAKTOWN, IN 47561-0269
(812) 745-4151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010551A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200357310A
—
IN
05
—
200435290
—
IN
Enumeration date
11/10/2006
Last updated
04/06/2015
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