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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871553313 | NPPES |
| Minnesota | MEDICAID | 1871553313 | |
| Minnesota | MEDICAID | 0477406 | |
| Minnesota | MEDICAID | 14436 | |
| Minnesota | Other | 1871553313 | |
| Minnesota | MEDICAID | 1457451 |
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