Reavill, Olga E

Reavill, Olga E is an individual health care provider with primary practice located at 731 Hwy 35 Unit G , Ocean NJ 07712-4765. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Reavill, Olga E can be contacted via phone (732) 455-8444.

Contact Information

Primary practice address
731 Hwy 35 Unit G Ocean NJ 07712-4765
Phone: (732) 455-8444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD.L07184R Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X H6764 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD.L07184R Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA10701700 New Jersey

Profile Details

NPI number 1740240647
LBN Legal business name Reavill, Olga E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Aug 12th, 2020 - about 5 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 1740240647 NPPES
Louisiana Other DISP.200276 DISPENSING REGISTRATION
Louisiana MEDICAID 1388441 DISPENSING REGISTRATION

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