Olaveson, Tait Dell

Olaveson, Tait Dell is an individual health care provider with primary practice located at 3200 Channing Way Ste 206 , Idaho Falls ID 83404-7546. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Olaveson, Tait Dell can be contacted via phone (208) 529-2230.

Contact Information

Primary practice address
3200 Channing Way Ste 206 Idaho Falls ID 83404-7546
Phone: (208) 529-2230
Fax: (208) 453-6142
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X O-0726 Idaho
Allopathic & Osteopathic Physicians / Surgery 208600000X 13411C Wyoming
Allopathic & Osteopathic Physicians / Surgery 208600000X 179881 Alaska
Allopathic & Osteopathic Physicians / Surgery 208600000X 82499 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X 93936 Montana
Allopathic & Osteopathic Physicians / Surgery 208600000X O-0726 Idaho

Profile Details

NPI number 1356518831
LBN Legal business name Olaveson, Tait Dell
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2008
Last updated Jun 4th, 2024 - 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.

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