Olson, Eric M

Olson, Eric M is an individual health care provider with primary practice located at 2894 S 8Th St , Fernandina Beach FL 32034-4462. He recently has 2 registered licenses in different health care specialties including Dental Providers / Prosthodontics, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Olson, Eric M can be contacted via phone (904) 261-0022.

Contact Information

Primary practice address
2894 S 8Th St Fernandina Beach FL 32034-4462
Phone: (904) 261-0022
Fax: (904) 261-6289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 9689 Florida
Dental Providers / General Practice 1223G0001X 9689 Florida

Profile Details

NPI number 1083678262
LBN Legal business name Olson, Eric M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jan 5th, 2022 - about 2 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 1083678262 NPPES
Florida Other 629935 UNITED CONCORDIA PROVIDER
Florida Other 67256 UNITED CONCORDIA PROVIDER

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