Olivo, Dominick

Olivo, Dominick is an individual health care provider with primary practice located at 175 W Broadway , Lincoln ME 04457-4000. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Olivo, Dominick can be contacted via phone (207) 794-6700.

Contact Information

Primary practice address
175 W Broadway Lincoln ME 04457-4000
Phone: (207) 794-6700
Fax: (207) 794-6389
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 151 Montana

Profile Details

NPI number 1023005378
LBN Legal business name Olivo, Dominick
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated May 23rd, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023005378 NPPES
Montana MEDICAID 0000390660

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