Olsofka, John N

Olsofka, John N is an individual health care provider with primary practice located at 4402 Churchman Ave Ste 202, Louisville KY 40215-3101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Olsofka, John N can be contacted via phone (502) 366-1090.

Contact Information

Primary practice address
4402 Churchman Ave Ste 202 Louisville KY 40215-3101
Phone: (502) 366-1090
Fax: (502) 366-1564
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 31325 Kentucky

Profile Details

NPI number 1013919273
LBN Legal business name Olsofka, John N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jan 23rd, 2019 - about 5 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 1013919273 NPPES
Kentucky Other 1101115 PASSPORT
Kentucky Other 020041621 PASSPORT
Kentucky Other P01026552 PASSPORT
Kentucky Other 000000050008 PASSPORT
Kentucky MEDICAID 64313257 PASSPORT

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