Olson, Mira Regina
Olson, Mira Regina is an individual health care provider with primary practice located at 360 Broadway Ste 100 , Bangor ME 04401-3900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Olson, Mira Regina can be contacted via phone (207) 907-3550.Contact Information
Primary practice address
360 Broadway Ste 100
Bangor ME 04401-3900
Phone: (207) 907-3550
Fax: (207) 907-3562
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD18537 | Maine |
Profile Details
| NPI number | 1033314620 |
|---|---|
| LBN Legal business name | Olson, Mira Regina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2007 |
| Last updated | May 25th, 2024 - about 7 months 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 | 1033314620 | NPPES |
| Louisiana | MEDICAID | 1070564 |
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