Olson, Eric Jon

Olson, Eric Jon is an individual health care provider with primary practice located at 1211 W Main St , Waterbury CT 06708-3106. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Independent Medical Examiner, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Olson, Eric Jon can be contacted via phone (203) 755-0163.

Contact Information

Primary practice address
1211 W Main St Waterbury CT 06708-3106
Phone: (203) 755-0163
Fax: (203) 753-3415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Independent Medical Examiner 202C00000X 034638 Connecticut
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 064638 Connecticut
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 034638 Connecticut

Profile Details

NPI number 1568563435
LBN Legal business name Olson, Eric Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Mar 24th, 2008 - about 16 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 1568563435 NPPES
Connecticut Other NHS540 OXFORD
Connecticut Other 0R3416 OXFORD
Connecticut Other 010034638CT01 OXFORD
Connecticut Other 034638 OXFORD
Connecticut Other 2305230 OXFORD

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