Provider Demographics
NPI:1568110260
Name:APPLIEDVR
Entity Type:Organization
Organization Name:APPLIEDVR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, HEALTH ECONOMICS & MRKET ACCESS
Authorized Official - Prefix:MS
Authorized Official - First Name:LIESL
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSTONE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, RPH, MBA
Authorized Official - Phone:317-557-1008
Mailing Address - Street 1:16760 STAGG ST STE 216
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-1642
Mailing Address - Country:US
Mailing Address - Phone:844-857-0010
Mailing Address - Fax:
Practice Address - Street 1:16760 STAGG ST STE 216
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-1642
Practice Address - Country:US
Practice Address - Phone:844-857-0010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-13
Last Update Date:2022-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies