Healthcare Provider Details

I. General information

NPI: 1629211933
Provider Name (Legal Business Name): BRITT HOLDERNESS OLMSTED M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2009
Last Update Date: 04/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15990 MEDICAL DR S
FINDLAY OH
45840-8894
US

IV. Provider business mailing address

1900 S MAIN ST MANAGED CARE DEPT.
FINDLAY OH
45840-1214
US

V. Phone/Fax

Practice location:
  • Phone: 419-524-3247
  • Fax: 419-425-3091
Mailing address:
  • Phone: 419-423-5262
  • Fax: 419-423-5550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number35.126545
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: