Waterbury Orthopaedic Associates P C

LBN: Waterbury Orthopaedic Associates P C
Waterbury Orthopaedic Associates P C is an health care organization with primary practice located at 1211 W Main St , Waterbury CT 06708-3106. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Independent Medical Examiner, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Waterbury Orthopaedic Associates P C can be contacted via phone (203) 755-0163, or through Olson, Eric Jon via phone (203) 755-0163.

Contact Information

Primary practice address
1211 W Main St Waterbury CT 06708-3106
Phone: (203) 755-0163
Fax: (203) 574-5894
Website:
Map and Directions
Authorized official contact:
Name: Olson, Eric Jon Doctor of Medicine (MD)
Phone: (203) 755-0163

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Independent Medical Examiner 202C00000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Connecticut
Suppliers / Prosthetic/Orthotic Supplier 335E00000X Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1982775276
LBN Legal business name Waterbury Orthopaedic Associates P C
DBA Doing business as
Authorized official Olson, Eric Jon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2006
Last updated Aug 2nd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982775276 NPPES
Connecticut MEDICAID 004394110

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