Dallas, Olympia P

Dallas, Olympia P is an individual health care provider with primary practice located at 4400 University Dr Ms 2D3 George Mason University Student Health, Fairfax VA 22030. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Dallas, Olympia P can be contacted via phone (703) 993-2807.

Contact Information

Primary practice address
4400 University Dr Ms 2D3 George Mason University Student Health Fairfax VA 22030
Phone: (703) 993-2807
Fax: (703) 993-4365
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101033600 Virginia

Profile Details

NPI number 1043243728
LBN Legal business name Dallas, Olympia P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Mar 7th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043243728 NPPES
Virginia Other 0101033600 MEDICAL LICENSE

Popular Providers