Olin, John R
Olin, John R is an individual health care provider with primary practice located at 16120 W Dodge Rd , Omaha NE 68118-2049. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Olin, John R can be contacted via phone (402) 354-0707.Contact Information
Primary practice address
16120 W Dodge Rd
Omaha NE 68118-2049
Phone: (402) 354-0707
Fax: (402) 354-0711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 1408 | Nebraska |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1408 | Nebraska |
Profile Details
| NPI number | 1831489517 |
|---|---|
| LBN Legal business name | Olin, John R |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2011 |
| Last updated | Dec 18th, 2013 - about 13 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 | 1831489517 | NPPES |
| Nebraska | MEDICAID | 47068731751 | |
| Nebraska | MEDICAID | 47068731742 |
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