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Individual

JANE E HOLAN

Active
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Individual

JANE E HOLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-054451
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000188746
ANTHEM
OH
01
000000221231
UNISON
OH
01
000000526051
ANTHEM
OH
05
0019425600001
PA
01
0637538
BCMH
OH
05
0637538
OH
01
363642
WELLCARE
OH
01
5573312
AETNA
OH
01
745917
BUCKEYE
OH
Enumeration date
07/16/2006
Last updated
04/19/2012
Update your record

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