Dr Timothy E Holland, DO is a
Student In An Organized Health Care Education/training Program physician based in San Diego, California. Dr Timothy E Holland is licensed to practice in Florida (license number OS14140) and his current practice location is 34800 Bob Wilson Dr Ste 2, San Diego, California. He can be reached at his office (for appointments etc.) via phone at
(619) 384-6400.
NPI number for Dr Timothy E Holland is 1417330606 and his current mailing address is Psc 3 Box 3692, Apo, Armed Forces Pacific. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417330606.
Physician's Profile
| Full Name | Dr Timothy E Holland |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 34800 Bob Wilson Dr Ste 2, San Diego, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417330606
- Provider Enumeration Date: 07/07/2015
- Last Update Date: 07/09/2024
Medical Identifiers
Medical identifiers for Dr Timothy E Holland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417330606 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | OS14140 (Florida) | Secondary |
| 208D00000X | General Practice | OS14140 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | OS14140 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Timothy E Holland is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Timothy E Holland, DO
Psc 3 Box 3692,
Apo, AP 96266-0037
Ph: () - | Dr Timothy E Holland, DO
34800 Bob Wilson Dr Ste 2,
San Diego, CA 92134-1002
Ph: (619) 384-6400 |
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