Olerud, John E
Olerud, John E is an individual health care provider with primary practice located at Uwmc-Roosevelt 4225 Roosevelt Way Ne, Seattle WA 98105-6166. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Pediatric Dermatology is his primary health care specialty. Olerud, John E can be contacted via phone (206) 598-4067.Contact Information
Primary practice address
Uwmc-Roosevelt 4225 Roosevelt Way Ne
Seattle WA 98105-6166
Phone: (206) 598-4067
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD00015240 | Washington |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | MD00015240 | Washington |
Profile Details
| NPI number | 1255417036 |
|---|---|
| LBN Legal business name | Olerud, John E |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Mar 3rd, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255417036 | NPPES |
| Washington | MEDICAID | 8392805 | |
| Washington | Other | 0801 |
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