Search › Wisconsin › 1223P0221X
Jason Holt
NPI 1588103097 · on the registry since 2017
Practice
- Address
- 3522 W Lisbon Ave
Milwaukee, WI 53208 - Phone
- (414) 935-8000
- Fax
- (414) 344-3350
- Organisation at this address
- Westside Healthcare Association Inc
Progressive Community Health Centers, Inc
Progressive Community Health Centers, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 33
Additional practice sites
- 26901 76th Ave, New Hyde Park, NY
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-04-22
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 Wisconsin