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Contact Information

ERIC B OLSEN, MD
1024 LEMAY AVENUE
FORT COLLINS, CO80525
 Phone: 970-495-7711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ERIC B OLSEN · (Male)

NPI Number 1760413280
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2006
Last updated 02/24/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 34626
  • CO Medicaid 01346261
  • WY Medicaid 111255400
  • Other 930034093 BCBS 2
  • CO Other 666496 BCBS
  • CO Other S5008 BCBS EPR
  • CO Other P00064077 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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