Provider Demographics
NPI:1992514681
Name:OLSHOVE, VINCENT F JR (CCP)
Entity type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:F
Last Name:OLSHOVE
Suffix:JR
Gender:M
Credentials:CCP
Other - Prefix:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:27 LACEBARK LN
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29909-6032
Mailing Address - Country:US
Mailing Address - Phone:614-560-5381
Mailing Address - Fax:
Practice Address - Street 1:231 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1821
Practice Address - Country:US
Practice Address - Phone:502-629-4800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes242T00000XTechnologists, Technicians & Other Technical Service ProvidersPerfusionist