Provider Demographics
NPI:1306008933
Name:NICHOLAS G. OLARI DPM AND ASSOCIATES PC
Entity Type:Organization
Organization Name:NICHOLAS G. OLARI DPM AND ASSOCIATES PC
Other - Org Name:MIDWEST FOOT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:OLARI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:402-551-0575
Mailing Address - Street 1:5030 GROVER ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-3831
Mailing Address - Country:US
Mailing Address - Phone:402-551-0575
Mailing Address - Fax:402-551-3257
Practice Address - Street 1:5030 GROVER ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-3831
Practice Address - Country:US
Practice Address - Phone:402-551-0575
Practice Address - Fax:402-551-3257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========-13Medicaid
NEU05623Medicare UPIN