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DR. JACLYN SUSAN OLSEN D.O. NPI 1578806840


NPI Information

NPI: 1578806840
Provider Name: DR. JACLYN SUSAN OLSEN, D.O.
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Organization: UNIVERSITY OF CONNECTICUT HEALTH CENTER

PECOS Registration: Yes

Address:
263 FARMINGTON AVE
GRADUATE MEDICAL EDUCATION - LM068
FARMINGTON, CT
ZIP 06030
Phone: (860) 679-6296
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DR. Jaclyn Susan Olsen, D.O. is a geriatric medicine internal medicine in Farmington, CT with 11 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. DR. Jaclyn Susan Olsen, D.O. NPI is 1578806840. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year:2013

The provider's business location address is:

263 FARMINGTON AVE
GRADUATE MEDICAL EDUCATION - LM068
FARMINGTON, CT
ZIP 06030-921
Phone: (860) 679-6296
Fax: (860) 679-4613

The NPI 1578806840 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/4/2013 and was last updated on 8/17/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207RG0300XInternal MedicineGeriatric Medicine056802CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.