Olsen, Douglas Craig
Olsen, Douglas Craig is an individual health care provider with primary practice located at 670 Ponahawai St Suite 208, Hilo HI 96720-2660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Olsen, Douglas Craig can be contacted via phone (808) 935-2112.Contact Information
Primary practice address
670 Ponahawai St Suite 208
Hilo HI 96720-2660
Phone: (808) 935-2112
Fax: (808) 935-2110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 10618 | Hawaii |
Profile Details
| NPI number | 1235273616 |
|---|---|
| LBN Legal business name | Olsen, Douglas Craig |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 18th, 2007 |
| Last updated | Sep 21st, 2015 - 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 | 1235273616 | NPPES |
| Hawaii | MEDICAID | 251602-12 |
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