Bauer-Olson, Cheryl K

Bauer-Olson, Cheryl K is an sole proprietor health care provider with primary practice located at 4133 30Th Ave S Ste 103 , Fargo ND 58104-8421. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bauer-Olson, Cheryl K can be contacted via phone (701) 499-4847.

Contact Information

Primary practice address
4133 30Th Ave S Ste 103 Fargo ND 58104-8421
Phone: (701) 499-4847
Fax: (701) 433-1882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3656 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 50211 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10745 North Dakota

Profile Details

NPI number 1871553313
LBN Legal business name Bauer-Olson, Cheryl K
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2006
Last updated May 15th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871553313 NPPES
Minnesota MEDICAID 1871553313
Minnesota MEDICAID 0477406
Minnesota MEDICAID 14436
Minnesota Other 1871553313
Minnesota MEDICAID 1457451

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