Olmert, Jacqueline A
Olmert, Jacqueline A is an individual health care provider with primary practice located at 500 W Thomas Rd Ste 900A , Phoenix AZ 85013-4223. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Olmert, Jacqueline A can be contacted via phone (602) 406-3540.Contact Information
Primary practice address
500 W Thomas Rd Ste 900A
Phoenix AZ 85013-4223
Phone: (602) 406-3540
Fax: (602) 406-7186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 27776 | Arizona |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 27776 | Arizona |
Profile Details
| NPI number | 1962491845 |
|---|---|
| LBN Legal business name | Olmert, Jacqueline A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Dec 18th, 2025 - about last year |
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 | 1962491845 | NPPES |
| Arizona | MEDICAID | 479114 |
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