Provider Demographics
NPI:1871715375
Name:DONALD M. HOLSINGER, MD
Entity type:Organization
Organization Name:DONALD M. HOLSINGER, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:M
Authorized Official - Last Name:HOLSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:620-235-4452
Mailing Address - Street 1:1801 S JOPLIN
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66762
Mailing Address - Country:US
Mailing Address - Phone:620-235-4452
Mailing Address - Fax:620-235-4455
Practice Address - Street 1:1801 S JOPLIN
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762
Practice Address - Country:US
Practice Address - Phone:620-235-4452
Practice Address - Fax:620-235-4455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13271207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS110625Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER