Pomerleau, Olga Olivera

Pomerleau, Olga Olivera is an individual health care provider with primary practice located at 2568A Riva Rd. Suite 103, Annapolis MD 21401-7457. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Pomerleau, Olga Olivera can be contacted via phone (410) 224-7667.

Contact Information

Primary practice address
2568A Riva Rd. Suite 103 Annapolis MD 21401-7457
Fax: (410) 224-7007
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101237777 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0067152 Maryland

Profile Details

NPI number 1376532481
LBN Legal business name Pomerleau, Olga Olivera
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Jun 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376532481 NPPES
Virginia MEDICAID 010176832

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