Sjoholm, Lars Ola I
Sjoholm, Lars Ola I is an individual health care provider with primary practice located at 316 S Stratford Ave Ste B , Santa Maria CA 93454-5908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Sjoholm, Lars Ola I can be contacted via phone (805) 332-8446.Contact Information
Primary practice address
316 S Stratford Ave Ste B
Santa Maria CA 93454-5908
Phone: (805) 332-8446
Fax: (805) 332-8173
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | C177818 | California |
Profile Details
NPI number | 1558467209 |
---|---|
LBN Legal business name | Sjoholm, Lars Ola I |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 16th, 2006 |
Last updated | Nov 3rd, 2023 - about 2 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 | 1558467209 | NPPES |
Pennsylvania | Other | 0002181 | AETNA |
Pennsylvania | Other | 2078341 | AETNA |
Pennsylvania | Other | 2623781 | AETNA |
Pennsylvania | MEDICAID | 0095087 | AETNA |
Pennsylvania | Other | 2684555000 | AETNA |
Pennsylvania | Other | 3K6094 | AETNA |
Pennsylvania | Other | P00292748 | AETNA |
Pennsylvania | Other | 91001907400 | AETNA |
Pennsylvania | Other | 60021848 | AETNA |
Pennsylvania | Other | 1134057 | AETNA |
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