Olmstead, Alan D

Olmstead, Alan D is an sole proprietor health care provider with primary practice located at 844 Washington St N Ste 100 , Twin Falls ID 83301. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Olmstead, Alan D can be contacted via phone (208) 734-6800.

Contact Information

Primary practice address
844 Washington St N Ste 100 Twin Falls ID 83301
Phone: (208) 734-6800
Fax: (208) 735-1635
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M-4775 Idaho
Allopathic & Osteopathic Physicians / Dermatology 207N00000X M4775 Idaho

Profile Details

NPI number 1306936794
LBN Legal business name Olmstead, Alan D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Dec 5th, 2018 - about 7 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 1306936794 NPPES
Idaho MEDICAID 001242700

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