Angela Suzzanne Olomon in Bolivar - Psychiatry

Angela Suzzanne Olomon - NPI 1487618062

Angela Suzzanne Olomon is a Psychiatry in Bolivar, Missouri. Angela Suzzanne Olomon practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Angela Suzzanne Olomon is 1487618062. The last update date is 2015-04-30.

Angela Suzzanne Olomon's current location address is Po Box 49, Bolivar, Missouri. You can contact this provider via phone number 4173267272 and fax number 4173262193. The mailing address for Angela Suzzanne Olomon is Po Box 49, Bolivar, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Angela Suzzanne Olomon
Address Po Box 49, Bolivar, Missouri
Phone Number 4173267272
Fax Number 4173262193
Sole Proprietor Y
Credentials DO, FACN

NPI Number Detail

NPI Number 1487618062
Provider Enumeration Date 2006-04-12
Last Updated Date 2015-04-30

Provider Mailing Address Detail

Address Po Box 49
City Bolivar
State Missouri (MO)
Post Code 656130049
Phone Number 4173267272
Fax Number 4173262193

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No R1J41
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
242734010 MO --
MA3677001 MO MEDICARE PTAN
P00230684 MO RAILROAD MC ID #
242734036 MO --

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FAQs about Angela Suzzanne Olomon

What is the unique 10-digit identifier code assigned to Angela Suzzanne Olomon by the Centers for Medicare & Medicaid Services?

The Angela Suzzanne Olomon has been issued the NPI (National Provider Identifier) 1487618062 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Angela Suzzanne Olomon is geographically located?

The Angela Suzzanne Olomon is physically situated at the following location: Po Box 49, Bolivar, MO, 656130049.

What is the area of specialization for Angela Suzzanne Olomon, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Angela Suzzanne Olomon is Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0800X.

When was the Angela Suzzanne Olomon's 1487618062 issued?

The Angela Suzzanne Olomon's 1487618062 was issued on 2006-04-12.

When was the information regarding Angela Suzzanne Olomon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Angela Suzzanne Olomon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-04-30.

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