Olsson, Leif Eric

Olsson, Leif Eric is an individual health care provider with primary practice located at 1524 Atwood Ave Suite 322, Johnston RI 02919-3228. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Other Service Providers / Specialist is his primary health care specialty. Olsson, Leif Eric can be contacted via phone (401) 331-7400.

Contact Information

Primary practice address
1524 Atwood Ave Suite 322 Johnston RI 02919-3228
Phone: (401) 331-7400
Fax: (401) 331-7410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD11442 Rhode Island
Allopathic & Osteopathic Physicians / Urology 208800000X MD24019 Maine

Profile Details

NPI number 1265489306
LBN Legal business name Olsson, Leif Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Sep 11th, 2020 - about 5 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 1265489306 NPPES
Rhode Island MEDICAID 7056699

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