Individual
JACOB ERIC RONALD HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615-4998
(423) 282-1480
(423) 928-1353
Mailing address
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615-4998
(423) 282-1480
(423) 928-1353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42090
TN
207R00000X
Internal Medicine Physician
42866
CO
208M00000X
Hospitalist Physician
42090
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000017
—
TN
05
—
73375039
—
CO
Enumeration date
08/21/2006
Last updated
05/08/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us