Olson, William L
Olson, William L is an sole proprietor health care provider with primary practice located at 13 West Street , Brockton MA 02301-3166. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Olson, William L can be contacted via phone (508) 583-1066.Contact Information
Primary practice address
13 West Street
Brockton MA 02301-3166
Phone: (508) 583-1066
Fax: (508) 580-1423
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 3534 | Massachusetts |
Profile Details
NPI number | 1427029875 |
---|---|
LBN Legal business name | Olson, William L |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 1st, 2006 |
Last updated | Oct 14th, 2011 - about 14 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 | 1427029875 | NPPES |
Other | 9150961 | CIGNA | |
Other | 726114 | CIGNA | |
Other | 0030905 | CIGNA | |
Other | 123637 | CIGNA | |
Other | 2201032 | CIGNA | |
Other | W15854 | CIGNA | |
Other | S020692 | CIGNA | |
MEDICAID | 110016369/A | CIGNA | |
Other | 1427029875 | CIGNA | |
Other | 150721 | CIGNA | |
Other | 410041396 | CIGNA | |
Other | MA3534 | CIGNA |
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