Olsen, Martin E.
Olsen, Martin E. is an individual health care provider with primary practice located at 325 N State Of Franklin Rd Fl 1 , Johnson City TN 37604-6056. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Olsen, Martin E. can be contacted via phone (423) 439-7272.Contact Information
Primary practice address
325 N State Of Franklin Rd Fl 1
Johnson City TN 37604-6056
Phone: (423) 439-7272
Fax: (423) 439-7235
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | MD21208 | Tennessee |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD21208 | Tennessee |
Profile Details
NPI number | 1003801929 |
---|---|
LBN Legal business name | Olsen, Martin E. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 16th, 2005 |
Last updated | Jan 24th, 2024 - about 11 months 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 | 1003801929 | NPPES |
Tennessee | MEDICAID | Q010190 |
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