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
Phone: (262) 334-3451
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316021785 | NPPES |
Wisconsin | MEDICAID | 34655800 |
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