Individual
SUSAN E HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 OLIVE WAY, MS: M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
(206) 515-5886
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
PA10001006
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039583
L & I
WA
01
—
069741009
INDIVIDAUL GROUP HEALTH
WA
01
—
3331HO
INDIVIDUAL BLUE SHIELD
WA
05
—
8368136
—
WA
01
—
970015908
RAILROAD MEDICARE
WA
01
—
US0862204
AETNA SPECIALIST PIN
WA
Enumeration date
02/10/2006
Last updated
05/14/2008
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