Olsson, John M

Olsson, John M is an individual health care provider with primary practice located at 1204 W Main St Fl 6 , Charlottesville VA 22908-4300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Olsson, John M can be contacted via phone (434) 924-5321.

Contact Information

Primary practice address
1204 W Main St Fl 6 Charlottesville VA 22908-4300
Phone: (434) 924-5321
Fax: (434) 924-5352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101263142 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9801733 North Carolina

Profile Details

NPI number 1194710632
LBN Legal business name Olsson, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Nov 9th, 2017 - about 7 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 1194710632 NPPES
North Carolina Other 1163A BCBS NC
North Carolina MEDICAID 1194710632 BCBS NC
North Carolina Other 2262361B BCBS NC
North Carolina Other 990014475 BCBS NC

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