Olbum, Jennifer R.

Olbum, Jennifer R. is an individual health care provider with primary practice located at 1717 University Dr S , Fargo ND 58103-4939. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Olbum, Jennifer R. can be contacted via phone (701) 461-5100.

Contact Information

Primary practice address
1717 University Dr S Fargo ND 58103-4939
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X OS008037L Pennsylvania

Profile Details

NPI number 1659373876
LBN Legal business name Olbum, Jennifer R.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Sep 30th, 2020 - about 4 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 1659373876 NPPES
Pennsylvania MEDICAID 1412160

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