Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 207 | NE |
NPI | 1093789554 |
---|---|
Provider Name | Dr. Nicholas G. Olari |
First Address | Omaha, NE 68134-6139 |
Second Address | Omaha, NE 68134-6139 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 18/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
47-0776939-13 | (05) | NE |
U5623 | (02) | NE |