Ter-Grigoryan, Olga Mikhaylovna
Ter-Grigoryan, Olga Mikhaylovna is an individual health care provider with primary practice located at 3500 Tower Ave , Superior WI 54880-5335. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ter-Grigoryan, Olga Mikhaylovna can be contacted via phone (715) 395-5454.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 15318-30 | Wisconsin |
Profile Details
| NPI number | 1700896420 |
|---|---|
| LBN Legal business name | Ter-Grigoryan, Olga Mikhaylovna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Apr 29th, 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 | 1700896420 | NPPES |
| Wisconsin | MEDICAID | 36005400 |
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