Olsen, Kristopher J
Olsen, Kristopher J is an sole proprietor health care provider with primary practice located at 6767 N Wickham Rd Suite 306, Melbourne FL 32940-2031. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Olsen, Kristopher J can be contacted via phone (321) 751-1925.Contact Information
Primary practice address
6767 N Wickham Rd Suite 306
Melbourne FL 32940-2031
Phone: (321) 751-1925
Fax: (321) 751-9261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY0004859 | Florida |
Profile Details
| NPI number | 1083764492 |
|---|---|
| LBN Legal business name | Olsen, Kristopher J |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Sep 12th, 2011 - about 14 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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