Olsen, Randall V
Olsen, Randall V is an individual health care provider with primary practice located at 1600 E Broadway , Columbia MO 65201-5844. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Olsen, Randall V can be contacted via phone (573) 815-8000.Contact Information
Primary practice address
1600 E Broadway
Columbia MO 65201-5844
Phone: (573) 815-8000
Fax: (573) 815-6343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 6035963-1205 | Utah |
| Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging | 2085D0003X | 6035963-1205 | Utah |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 6035963-1205 | Utah |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 11771 | Nevada |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2017004467 | Missouri |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 2017004467 | Missouri |
Profile Details
| NPI number | 1700875788 |
|---|---|
| LBN Legal business name | Olsen, Randall V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | May 2nd, 2017 - about 7 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 | 1700875788 | NPPES |
| Other | 107044372101 | IHC | |
| Other | 870487570RDS | IHC | |
| MEDICAID | 1093702185 | IHC | |
| MEDICAID | 870487570004 | IHC | |
| Other | 60359631200001 | IHC |
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