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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336180454 | NPPES |
| Washington | MEDICAID | 8422933 | |
| Washington | Other | 0195305 | |
| Washington | Other | 2010OL |
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