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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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