Dizon, Olivia Jane

Dizon, Olivia Jane is an individual health care provider with primary practice located at 125 Shoreway Dr Ste 120 , Queenstown MD 21658-1681. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dizon, Olivia Jane can be contacted via phone (410) 827-4001.

Contact Information

Primary practice address
125 Shoreway Dr Ste 120 Queenstown MD 21658-1681
Phone: (410) 827-4001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AC006253 Maryland

Profile Details

NPI number 1346096575
LBN Legal business name Dizon, Olivia Jane
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2024
Last updated Apr 29th, 2024 - about 8 months 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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