Olsen, Elise A

Olsen, Elise A is an individual health care provider with primary practice located at 40 Duke Medicine Cir , Durham NC 27710-4000. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Olsen, Elise A can be contacted via phone (919) 668-5613.

Contact Information

Primary practice address
40 Duke Medicine Cir Durham NC 27710-4000
Fax: (919) 668-5629
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 24475 North Carolina
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 24475 North Carolina

Profile Details

NPI number 1598708042
LBN Legal business name Olsen, Elise A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Sep 10th, 2013 - about 11 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 1598708042 NPPES
North Carolina MEDICAID 8964134

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