Koukoularis, Olivia Jean

Koukoularis, Olivia Jean is an individual health care provider with primary practice located at 415 Ocean Ave , New London CT 06320-4716. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Koukoularis, Olivia Jean can be contacted via phone (860) 437-1100.

Contact Information

Primary practice address
415 Ocean Ave New London CT 06320-4716
Phone: (860) 437-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00783 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3202 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3202 Connecticut

Profile Details

NPI number 1952704561
LBN Legal business name Koukoularis, Olivia Jean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2014
Last updated Sep 11th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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