SUSAN E HOLT PAC

Allergy and Immunology

Seattle, Washington

Provider NPI: 1720051618

Provider Information:
 SUSAN E HOLT PAC


Practice Location:
1100 9TH AVE  SEATTLE, WA 98101 US
Tel: 206-223-6600  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	WA	PA10001006

Other Provider Identifiers:

Issuer	Number	State	Type
L & I	0039583	WA	01
AETNA SPECIALIST PIN	US0862204	WA	01
INDIVIDUAL BLUE SHIELD	3331HO	WA	01
	8368136	WA	05
INDIVIDAUL GROUP HEALTH	069741009	WA	01
RAILROAD MEDICARE	970015908	WA	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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