Olsen, Michael Stewart

Olsen, Michael Stewart is an individual health care provider with primary practice located at 21601 76Th Ave W , Edmonds WA 98026-7507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Olsen, Michael Stewart can be contacted via phone (425) 640-4000.

Contact Information

Primary practice address
21601 76Th Ave W Edmonds WA 98026-7507
Phone: (425) 640-4000
Fax: (425) 640-4010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00044798 Washington

Profile Details

NPI number 1336180454
LBN Legal business name Olsen, Michael Stewart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Mar 5th, 2008 - about 16 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 1336180454 NPPES
Washington MEDICAID 8422933
Washington Other 0195305
Washington Other 2010OL

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