Don J Olivero

Individual provider Active NPI Non-emergency Medical Transport (VAN) · Carolina Shores, NC

NPI 1093485906 · NPPES record last updated Sep 14, 2021

Key facts

NPI
1093485906
Entity type
Individual (NPI type 1)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
Practice address
23 Gate 11
Carolina Shores, NC 28467-2621
Phone
(716) 912-7850
NPI assigned
Sep 14, 2021
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Stateline Wellness Transport LLC Non-Emergency Medical Transport (Van) Current
since Nov 9, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Yes

Addresses

Primary practice location

23 Gate 11
Carolina Shores, NC 28467-2621

Mailing address

23 Gate 11
Carolina Shores, NC 28467-2621
Phone (716) 912-7850

Other providers in Carolina Shores, NC

All providers in Carolina Shores, NC · Non-emergency Medical Transport (VAN) in North Carolina

Sources for this page

Verify at the official NPI Registry.