Olson, Laura J
Olson, Laura J is an individual health care provider with primary practice located at 300 Ocean Ave Revere Health Care Center Rhc, Revere MA 02151-3675. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Olson, Laura J can be contacted via phone (781) 485-6000.Contact Information
Primary practice address
300 Ocean Ave Revere Health Care Center Rhc
Revere MA 02151-3675
Phone: (781) 485-6000
Fax: (781) 485-6392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 70597 | Massachusetts |
Profile Details
| NPI number | 1093705642 |
|---|---|
| LBN Legal business name | Olson, Laura J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1093705642 | NPPES |
| Massachusetts | Other | J11049 | BCBS MA |
| Massachusetts | MEDICAID | 3082113 | BCBS MA |
| Massachusetts | Other | 070597 | BCBS MA |
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