Individual
HERBERT K HOLDSAMBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 LOWELL DR SE, STE 403, HUNTSVILLE, AL 35801-3754
(256) 535-5980
(256) 535-5983
Mailing address
420 LOWELL DR SE, STE 103, HUNTSVILLE, AL 35801-3754
(256) 535-5940
(256) 535-5954
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10399
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000016799
—
AL
01
—
0004003561
AETNA
—
01
—
110019467
RAILROAD MEDICARE
—
01
—
510 16799
BLUE CROSS BLUE SHIELD
AL
01
—
63 0969203
TAX IDENTIFICATION NO
—
Enumeration date
11/09/2005
Last updated
12/07/2009
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