Neil Olson
Infectious Disease
234 Glenbrook Rd
Storrs Mansfield
, Connecticut 06269-2011
Neil Olson
Infectious Disease
234 Glenbrook Rd
Storrs Mansfield
, Connecticut 06269-2011
(860) 486-0004
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Neil Olson
- 234 Glenbrook Rd
- Storrs Mansfield, CT
- Zip : 06269-2011
- Fax : (860) 486-0004
- Phone : (860) 486-4700
Second Address
- Neil Olson
- 234 Glenbrook Rd
- Storrs Mansfield, CT
- Zip : 06269-2011
- Fax : (860) 486-0004
- Phone : (860) 486-4700
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | 16560 | CT |
National Provider Identifier
| NPI | 1003037763 |
|---|---|
| Provider Name | Neil Olson |
| First Address | Storrs Mansfield, CT 06269-2011 |
| Second Address | Storrs Mansfield, CT 06269-2011 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2007 |
| Last Update Date | 17/02/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003037763 | NPI (01) | |
| 16560 | STATE LICENSE (01) | CT |
| 440000189 | MEDICARE NUMBER (01) | |
| AO8502432 | DEA NUMBER (01) | |
| C59658 | UPIN (01) |
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.