Olsen, Bradley
Olsen, Bradley is an individual health care provider with primary practice located at 717 S State St Ste 2 , Fairmont MN 56031-4469. He recently has only one registered license in Dental Providers / Dental Therapist, which is considered as his primary health care specialty. Olsen, Bradley can be contacted via phone (507) 235-5985.Contact Information
Primary practice address
717 S State St Ste 2
Fairmont MN 56031-4469
Phone: (507) 235-5985
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dental Therapist | 125J00000X | DT150 | Minnesota |
Profile Details
NPI number | 1225769227 |
---|---|
LBN Legal business name | Olsen, Bradley |
Credentials | CDT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2022 |
Last updated | Jun 21st, 2022 - about 3 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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