Individual
TIMOTHY JAMES HOLSBEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
336 N MAIN ST, WEST HARTFORD, CT 06117-2510
(860) 232-4891
(860) 236-1016
Mailing address
336 N MAIN ST, WEST HARTFORD, CT 06117-2510
(860) 232-4891
(860) 236-1016
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000685
CT
363AM0700X
Medical Physician Assistant
Primary
000685
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477539906
NPI
CT
Enumeration date
12/16/2005
Last updated
12/19/2013
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