Olson, Eric Peter

Olson, Eric Peter is an individual health care provider with primary practice located at 3430 Washington Parkway , Idaho Falls ID 83404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Olson, Eric Peter can be contacted via phone (208) 523-3060.

Contact Information

Primary practice address
3430 Washington Parkway Idaho Falls ID 83404
Phone: (208) 523-3060
Fax: (208) 523-0028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M5358 Idaho

Profile Details

NPI number 1053425611
LBN Legal business name Olson, Eric Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Sep 29th, 2009 - about 15 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 1053425611 NPPES
Idaho MEDICAID 003870300
Idaho Other 53598
Idaho Other 000010006122

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