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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