Dr. Dominick Olivo
Foot Surgery
175 W Broadway
Lincoln
, Maine 04457-4000
Dr. Dominick Olivo
Foot Surgery
175 W Broadway
Lincoln
, Maine 04457-4000
(207) 794-6389
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Dominick Olivo
- 175 W Broadway
- Lincoln, ME
- Zip : 04457-4000
- Fax : (207) 794-6389
- Phone : (207) 794-6700
Second Address
- Dr. Dominick Olivo
- 175 W Broadway
- Lincoln, ME
- Zip : 04457-4000
- Fax : (207) 794-6389
- Phone : (207) 794-6700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | 151 | MT |
National Provider Identifier
| NPI | 1023005378 |
|---|---|
| Provider Name | Dr. Dominick Olivo |
| First Address | Lincoln, ME 04457-4000 |
| Second Address | Lincoln, ME 04457-4000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2005 |
| Last Update Date | 23/05/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0000390660 | (05) | MT |
| U65468 | (02) | MT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.