Oliver, John
Oliver, John is an sole proprietor health care provider with primary practice located at 3750 E Country Field Cir Ste D , Wasilla AK 99654-6659. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Oliver, John can be contacted via phone (907) 357-6121.Contact Information
Primary practice address
3750 E Country Field Cir Ste D
Wasilla AK 99654-6659
Phone: (907) 357-6121
Fax: (907) 357-6171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 4950 | Alaska |
Profile Details
| NPI number | 1093778029 |
|---|---|
| LBN Legal business name | Oliver, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Feb 3rd, 2023 - about 2 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 | 1093778029 | NPPES |
| Alaska | Other | 160059561 | MEDICARE RAILROAD |
| Alaska | Other | 954332081 | MEDICARE RAILROAD |
| Alaska | MEDICAID | MD5356 | MEDICARE RAILROAD |
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