Kalu, Olivia

Kalu, Olivia is an sole proprietor health care provider with primary practice located at 24760 Hospital Drive , Red Lake MN 56671. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Kalu, Olivia can be contacted via phone (218) 679-3912.

Contact Information

Primary practice address
24760 Hospital Drive Red Lake MN 56671
Phone: (218) 679-3912
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01065819A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C7-0003225 Delaware

Profile Details

NPI number 1215056817
LBN Legal business name Kalu, Olivia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2007
Last updated Sep 20th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215056817 NPPES
Indiana Other 000000640362 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200973010 ANTHEM PROVIDER NUMBER

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