Nelson, Olivia
Nelson, Olivia is an individual health care provider with primary practice located at 3401 Civic Center Blvd Suite 9329, Philadelphia PA 19104-4319. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is her primary health care specialty. Nelson, Olivia can be contacted via phone (215) 590-1858.Contact Information
Primary practice address
3401 Civic Center Blvd Suite 9329
Philadelphia PA 19104-4319
Phone: (215) 590-1858
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | BB5204071-ON4 | Massachusetts |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Massachusetts | |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | MD460796 | Pennsylvania |
Profile Details
| NPI number | 1831400746 |
|---|---|
| LBN Legal business name | Nelson, Olivia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2010 |
| Last updated | Mar 27th, 2018 - about 6 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 | 1831400746 | NPPES |
| Pennsylvania | MEDICAID | 1033208840001 |
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