Olafsson, Eric J

Olafsson, Eric J is an individual health care provider with primary practice located at 3200 Pleasant Valley Rd , West Bend WI 53095-9274. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Olafsson, Eric J can be contacted via phone (262) 334-3451.

Contact Information

Primary practice address
3200 Pleasant Valley Rd West Bend WI 53095-9274
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42389 Wisconsin
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 42389 Wisconsin

Profile Details

NPI number 1316021785
LBN Legal business name Olafsson, Eric J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Apr 22nd, 2013 - about 12 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 1316021785 NPPES
Wisconsin MEDICAID 34655800

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