Olsen, George Martin
Olsen, George Martin is an sole proprietor health care provider with primary practice located at 237 Sw Higgins Ave Ste C, Missoula MT 59803-1403. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Olsen, George Martin can be contacted via phone (406) 721-2830.Contact Information
Primary practice address
237 Sw Higgins Ave Ste C
Missoula MT 59803-1403
Phone: (406) 721-2830
Fax: (406) 549-5053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1424 | Montana |
Profile Details
| NPI number | 1730233412 |
|---|---|
| LBN Legal business name | Olsen, George Martin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730233412 | NPPES |
| Montana | MEDICAID | 110162 | |
| Montana | Other | 5511480 |
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