Individual
MR. JORDAN MICHAEL HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 751-2649
(765) 281-6671
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
26
OK
367H00000X
Anesthesiologist Assistant
32375752
TX
367H00000X
Anesthesiologist Assistant
Primary
75000113A
IN
Other
Enumeration date
02/25/2019
Last updated
12/09/2025
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