Olympia, Christian L
Olympia, Christian L is an individual health care provider with primary practice located at 1300 W Terrell Ave 2Nd Floor, Fort Worth TX 76104-2820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Olympia, Christian L can be contacted via phone (817) 820-4906.Contact Information
Primary practice address
1300 W Terrell Ave 2Nd Floor
Fort Worth TX 76104-2820
Phone: (817) 820-4906
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35.085070 | Ohio |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | N8232 | Texas |
Profile Details
| NPI number | 1609867225 |
|---|---|
| LBN Legal business name | Olympia, Christian L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Mar 5th, 2011 - about 15 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 | 1609867225 | NPPES |
| Ohio | MEDICAID | 2525431 |
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