Olshan, Jerrold

Olshan, Jerrold is an individual health care provider with primary practice located at 887 Congress St Suite 320, Portland ME 04102-3100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is his primary health care specialty. Olshan, Jerrold can be contacted via phone (207) 662-5522.

Contact Information

Primary practice address
887 Congress St Suite 320 Portland ME 04102-3100
Phone: (207) 662-5522
Fax: (207) 662-5527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 013155 Maine
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 013155 Maine

Profile Details

NPI number 1386673382
LBN Legal business name Olshan, Jerrold
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Nov 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386673382 NPPES
New Hampshire MEDICAID 30008631
New Hampshire MEDICAID 322340099

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