Jacqueline Holder, DO | |
221 S 6th St, Terre Haute, IN 47807-4214 | |
(812) 242-3105 | |
(812) 242-3133 |
Full Name | Jacqueline Holder |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 221 S 6th St, Terre Haute, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144338781 | NPI | - | NPPES |
000000224510 | Other | ANTHEM | |
200373360 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 02002477A (Indiana) | Primary |
Entity Name | Union Associated Physicians Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891028379 PECOS PAC ID: 3375687437 Enrollment ID: O20100213000002 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline Holder, DO 221 S 6th St, Terre Haute, IN 47807-4214 Ph: (812) 242-3105 | Jacqueline Holder, DO 221 S 6th St, Terre Haute, IN 47807-4214 Ph: (812) 242-3105 |
Dr. Pablito Dela Cruz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1310 E Davis Dr, Terre Haute, IN 47802 Phone: 812-232-7337 Fax: 812-232-7338 | |
Chandrama Chakrabarti, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4525 Springhill Junction, Terre Haute, IN 47802 Phone: 812-234-6053 Fax: 812-478-3416 | |
Dr. Zenaida M Contreras, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3464 S 4th St, Terre Haute, IN 47802 Phone: 812-234-8117 Fax: 812-234-1894 | |
Trupti A Bhuptani, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4525 Springhill Junction, Terre Haute, IN 47802 Phone: 812-234-6053 Fax: 812-478-3416 | |
Catherine L Brown, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4001 Wabash Ave, Terre Haute, IN 47803 Phone: 812-238-7711 | |
William Douglas Green, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 221 S 6th St, Terre Haute, IN 47807 Phone: 812-242-3105 Fax: 812-242-3133 |