Provider Demographics
NPI:1255318291
Name:OLLAR, WILLIAM A (DO)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:A
Last Name:OLLAR
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:3998 FAIR RIDGE DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-2907
Mailing Address - Country:US
Mailing Address - Phone:703-295-9360
Mailing Address - Fax:703-766-9725
Practice Address - Street 1:7 MARSH BROOK DR
Practice Address - Street 2:SUITE 10
Practice Address - City:SOMERSWORTH
Practice Address - State:NH
Practice Address - Zip Code:03878-6523
Practice Address - Country:US
Practice Address - Phone:603-749-7246
Practice Address - Fax:603-749-2453
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2015-03-12
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Provider Licenses
StateLicense IDTaxonomies
NH8468208VP0014X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH40003915Medicaid
E55046Medicare UPIN
NH40003915Medicaid