SearchIllinois246ZC0007X

Douglas Holt, CST

NPI 1538714191 · on the registry since 2019

Practice

Address
1604 Visa Dr Ste 1
Normal, IL 61761
Phone
(309) 846-4716
Fax
(309) 454-7348
Organisation at this address
Jay Sweis Dds Pc
Neuromonitoring Service Llc
Definitive Neurodiagnostics Llc
Your Extra Hands Surgical Services
Everyone'S Family Dental Normal Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
84

Additional practice sites

  • 1400 W Park St, Urbana, IL
  • 1304 Franklin Ave, Normal, IL

Registry record

Primary taxonomy
246ZC0007X
246ZC0007X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-09-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois