Dominick Olivo is a Foot Surgery in Lincoln, Maine. Dominick Olivo practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Dominick Olivo is 1023005378. The last update date is 2019-05-23.
Dominick Olivo's current location address is 175 W Broadway, Lincoln, Maine. You can contact this provider via phone number 2077946700 and fax number 2077946389. The mailing address for Dominick Olivo is 175 W Broadway, Lincoln, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dominick Olivo |
|---|---|
| Address | 175 W Broadway, Lincoln, Maine |
| Phone Number | 2077946700 |
| Fax Number | 2077946389 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1023005378 |
|---|---|
| Provider Enumeration Date | 2005-10-03 |
| Last Updated Date | 2019-05-23 |
Provider Mailing Address Detail
| Address | 175 W Broadway |
|---|---|
| City | Lincoln |
| State | Maine (ME) |
| Post Code | 44574000 |
| Phone Number | 2077946700 |
| Fax Number | 2077946389 |
Provider's Primary Taxonomy Detail
| Speciality | Foot Surgery |
|---|---|
| Taxonomy | 213Es0131X |
| Licence No | 151 |
|
Definition: A doctor of podiatric medicine who specializes in performing foot and ankle surgeries. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 390660 | MT | -- |
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What is the unique 10-digit identifier code issued to Dominick Olivo by the Centers for Medicare & Medicaid Services?
The Dominick Olivo has been assigned the NPI (National Provider Identifier) 1023005378 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Dominick Olivo?
The Dominick Olivo is physically situated at 175 W Broadway, in the city of Lincoln, state of ME, with the postal code 44574000.
What is Dominick Olivo's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dominick Olivo's area of specialization is Foot Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0131X.
On what date did the Dominick Olivo receive the assignment of its 1023005378 from the Centers for Medicare & Medicaid Services?
The Dominick Olivo was issued its 1023005378 by the Centers for Medicare & Medicaid Services on 2005-10-03.
As of what date was the information regarding Dominick Olivo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dominick Olivo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-05-23.