Olin, John R

Olin, John R is an individual health care provider with primary practice located at 16120 W Dodge Rd , Omaha NE 68118-2049. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Olin, John R can be contacted via phone (402) 354-0707.

Contact Information

Primary practice address
16120 W Dodge Rd Omaha NE 68118-2049
Phone: (402) 354-0707
Fax: (402) 354-0711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 1408 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1408 Nebraska

Profile Details

NPI number 1831489517
LBN Legal business name Olin, John R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2011
Last updated Dec 18th, 2013 - about 11 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 1831489517 NPPES
Nebraska MEDICAID 47068731751
Nebraska MEDICAID 47068731742

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