Olivencia, Jose A.

Olivencia, Jose A. is an individual health care provider with primary practice located at 2425 Westown Pkwy , West Des Moines IA 50266-1425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Olivencia, Jose A. can be contacted via phone (515) 222-8346.

Contact Information

Primary practice address
2425 Westown Pkwy West Des Moines IA 50266-1425
Phone: (515) 222-8346
Fax: (515) 222-0472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 19393 Iowa

Profile Details

NPI number 1821101478
LBN Legal business name Olivencia, Jose A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jul 8th, 2007 - about 18 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 1821101478 NPPES
Other 20015691 RAILROAD MEDICARE
Other 6702 RAILROAD MEDICARE
Other 02396 RAILROAD MEDICARE
MEDICAID 10025355600 RAILROAD MEDICARE
MEDICAID 1151837 RAILROAD MEDICARE
Other 1700237 RAILROAD MEDICARE
Other 663357 RAILROAD MEDICARE

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