Olofsson, Brian Patrick
Olofsson, Brian Patrick is an sole proprietor health care provider with primary practice located at 400 N Wall Suite 510, Kankakee IL 60901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Olofsson, Brian Patrick can be contacted via phone (815) 932-5725.Contact Information
Primary practice address
400 N Wall Suite 510
Kankakee IL 60901
Phone: (815) 932-5725
Fax: (815) 932-5872
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036067325 | Illinois |
Profile Details
| NPI number | 1073604534 |
|---|---|
| LBN Legal business name | Olofsson, Brian Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Dec 4th, 2014 - about 10 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 | 1073604534 | NPPES |
| Illinois | MEDICAID | 036067325 |
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