Provider Demographics
NPI:1790758720
Name:OLCH, CHRISTOPHER LOVEJOY (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:LOVEJOY
Last Name:OLCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11920 SEABECK HWY NW
Mailing Address - Street 2:
Mailing Address - City:SEABECK
Mailing Address - State:WA
Mailing Address - Zip Code:98380-9563
Mailing Address - Country:US
Mailing Address - Phone:360-830-4899
Mailing Address - Fax:
Practice Address - Street 1:1 BOONE RD
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98312-1898
Practice Address - Country:US
Practice Address - Phone:360-475-4111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00035903207XS0106X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
6193OLOtherREGENCE BLUE SHIELD
WA216836OtherLABOR & INDUSTRIES
7980872OtherAETNA
WA8473514Medicaid
FO0114188OtherDEA
WA8473514Medicaid
G8900008Medicare PIN
FO0114188OtherDEA
G8872102Medicare PIN
G8871456Medicare PIN
G8870534Medicare PIN
WAG8864008Medicare PIN