Ogland, Olaf Johan

Ogland, Olaf Johan is an individual health care provider with primary practice located at 19 Halls Rd , Old Lyme CT 06371-0046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ogland, Olaf Johan can be contacted via phone (860) 434-9400.

Contact Information

Primary practice address
19 Halls Rd Old Lyme CT 06371-0046
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 21809 Connecticut

Profile Details

NPI number 1134255771
LBN Legal business name Ogland, Olaf Johan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Jul 8th, 2007 - about 17 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 1134255771 NPPES
Other C007336 CHAMPUS

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