Olga Ivasheva
Dentist - General Practice
15301 Warren Shingle Rd
Beale Afb
, California 95903-1907
Olga Ivasheva
Dentist - General Practice
15301 Warren Shingle Rd
Beale Afb
, California 95903-1907
(530) 634-4781
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Olga Ivasheva
- 15301 Warren Shingle Rd
- Beale Afb, CA
- Zip : 95903-1907
- Phone : (530) 634-4781
Second Address
- Olga Ivasheva
- 15301 Warren Shingle Rd
- Beale Afb, CA
- Zip : 95903-1907
- Phone : (530) 634-4781
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What type of doctor is Olga Ivasheva
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Is Olga Ivasheva a sole practitioner?
Is Olga Ivasheva accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | DEN.00202913 | CO |
| Y | 213EG0000X | General Practice | DEN.00202913 | CO |
National Provider Identifier
| NPI | 1003360629 |
|---|---|
| Provider Name | Olga Ivasheva |
| First Address | Beale Afb, CA 95903-1907 |
| Second Address | Beale Afb, CA 95903-1907 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/08/2016 |
| Last Update Date | 22/08/2017 |
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.