Gordon S Olsen Do Pc

LBN: Gordon S Olsen Do Pc
Gordon S Olsen Do Pc is an health care organization with primary practice located at 170 Arrowhead Drive Suite 3, Evanston WY 82930-9266. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Suppliers / Prosthetic/Orthotic Supplier. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Gordon S Olsen Do Pc can be contacted via phone (307) 789-0096, or through Olsen, Gordon S via phone (307) 789-0096.

Contact Information

Primary practice address
170 Arrowhead Drive Suite 3 Evanston WY 82930-9266
Phone: (307) 789-0096
Fax: (307) 789-0860
Website:
Map and Directions
Authorized official contact:
Name: Olsen, Gordon S Doctor of Osteopathy (DO)
Phone: (307) 789-0096

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X Wyoming
Suppliers / Prosthetic/Orthotic Supplier 335E00000X Wyoming

Profile Details

NPI number 1669505004
LBN Legal business name Gordon S Olsen Do Pc
DBA Doing business as
Authorized official Olsen, Gordon S Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2007
Last updated Mar 3rd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669505004 NPPES
Wyoming Other 00593001 BCBS
Wyoming MEDICAID 122536700 BCBS

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