Provider Demographics
NPI:1801016886
Name:OLMAN, BRIAN PATRICK (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:PATRICK
Last Name:OLMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 MORGANTOWN ST
Mailing Address - Street 2:SUITE 5000
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-4871
Mailing Address - Country:US
Mailing Address - Phone:724-439-8878
Mailing Address - Fax:724-439-8958
Practice Address - Street 1:315 MORGANTOWN ST
Practice Address - Street 2:SUITE 5000
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-4871
Practice Address - Country:US
Practice Address - Phone:724-439-8878
Practice Address - Fax:724-439-8958
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-004718-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012374270003Medicaid
PA675557OtherBLUE SHIELD
PA0012374270003Medicaid
PA675557OtherBLUE SHIELD