Ollivier, Joseph Emilian

Ollivier, Joseph Emilian is an individual health care provider with primary practice located at 500 W Fort St , Boise ID 83702-4501. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Ollivier, Joseph Emilian can be contacted via phone (208) 422-1000.

Contact Information

Primary practice address
500 W Fort St Boise ID 83702-4501
Phone: (208) 422-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-351 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA351 Idaho

Profile Details

NPI number 1427028067
LBN Legal business name Ollivier, Joseph Emilian
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Aug 17th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427028067 NPPES
Idaho Other 085960 BLUE SHIELD
Idaho Other PA351 BLUE SHIELD
Idaho Other 000010032407 BLUE SHIELD
Idaho MEDICAID 806032100 BLUE SHIELD
Idaho Other PAIM4 BLUE SHIELD
Idaho MEDICAID 806032101 BLUE SHIELD
Idaho Other 820227163G040 BLUE SHIELD
Idaho Other PA351 BLUE SHIELD
Idaho Other 000010032406 BLUE SHIELD

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