Olsen, Kevin H
Olsen, Kevin H is an sole proprietor health care provider with primary practice located at 2603 Stafford Avenue , Scranton PA 18505-3608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Olsen, Kevin H can be contacted via phone (570) 558-5558.Contact Information
Primary practice address
2603 Stafford Avenue
Scranton PA 18505-3608
Phone: (570) 558-5558
Fax: (570) 558-5557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD042779E | Pennsylvania |
Profile Details
| NPI number | 1376634949 |
|---|---|
| LBN Legal business name | Olsen, Kevin H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Feb 14th, 2008 - about 17 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 | 1376634949 | NPPES |
| Pennsylvania | MEDICAID | 0011413170012 |
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