Olm, Ronald Kevin

Olm, Ronald Kevin is an sole proprietor health care provider with primary practice located at 4246 3 Mile Rd N , Traverse City MI 49686-9195. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Olm, Ronald Kevin can be contacted via phone (231) 922-9100.

Contact Information

Primary practice address
4246 3 Mile Rd N Traverse City MI 49686-9195
Phone: (231) 922-9100
Fax: (231) 922-9180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901001664 Michigan
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X R0001664 Michigan

Profile Details

NPI number 1356344741
LBN Legal business name Olm, Ronald Kevin
Credentials DPM, FACFAS, C-PED
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2005
Last updated Jun 26th, 2013 - about 13 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 1356344741 NPPES
Michigan MEDICAID (13)2893049
Michigan MEDICAID 2893049

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