Active NPIIndividual provider

Eric J Olson, MD

Orthopaedic Surgery in Waterbury, Connecticut

NPI Number1568563435
Practice location
1211 W Main St, Waterbury, CT 06708-3106
Fax
203-753-3415
Last updated
March 24, 2008

Eric Jon Olson is an Orthopaedic Surgery based in Waterbury, CT. Eric Jon Olson practices in Waterbury, CT and has the professional credentials of MD. The NPI Number for Eric Jon Olson is 1568563435 and holds a License No. 034638 (CT). The current practice location address for Eric Jon Olson is 1211 W Main St, Waterbury, CT 06708-3106 and can be reached out via phone at 203-755-0163 and via fax at 203-753-3415.

Provider Profile Details

NPI Number
1568563435
Provider Name
Eric Jon Olson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1211 W Main St, Waterbury, CT 06708-3106
Phone Number
203-755-0163
Fax Number
203-753-3415
Primary Taxonomy
Orthopaedic Surgery · 207X00000X
Sole Proprietor
No
Provider Enumeration Date
September 25, 2006
Last Update Date
March 24, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
1211 W Main St
Waterbury, CT 06708-3106
Zip
06708-3106
Phone Number
203-755-0163
Fax Number
203-753-3415
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
1211 W Main St
Waterbury, CT 06708-3106
City
Waterbury
State
CT
Zip
06708-3106
Phone Number
203-755-0163
Fax Number
203-753-3415

License Information

License Number (1)
034638
License State (1)
CT
Taxonomy (1)
Independent Medical Examiner · 202C00000X
License Number (2)
064638
License State (2)
CT
Taxonomy (2)
Orthopaedic Surgery, Sports Medicine · 207XX0005X
License Number (3)
034638
License State (3)
CT
Taxonomy (3)
Orthopaedic Surgery · 207X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Eric J Olson, MD?

The NPI number of Eric J Olson, MD is 1568563435. It was assigned on September 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Eric J Olson, MD?

Eric J Olson, MD is registered under the primary taxonomy Orthopaedic Surgery (code 207X00000X), licensed in CT under license number 034638.

Where does Eric J Olson, MD practice?

The practice location is 1211 W Main St, Waterbury, CT 06708-3106. The office can be reached at 203-755-0163 (phone) or 203-753-3415 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568563435 directly on the NPPES registry website.

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