Olsen, Russell G

Olsen, Russell G is an individual health care provider with primary practice located at 1811 W Royal Hunte Dr Suite 2, Cedar City UT 84720-8273. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Olsen, Russell G can be contacted via phone (435) 586-2225.

Contact Information

Primary practice address
1811 W Royal Hunte Dr Suite 2 Cedar City UT 84720-8273
Phone: (435) 586-2225
Fax: (435) 867-1909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 106765-0501 Utah

Profile Details

NPI number 1639178882
LBN Legal business name Olsen, Russell G
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Dec 28th, 2007 - about 19 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 1639178882 NPPES
Utah Other 870545030OL1 EDUCATORS MUTUAL
Utah Other 870545030006 EDUCATORS MUTUAL
Utah Other 1069500001 EDUCATORS MUTUAL
Utah Other 528688204001 EDUCATORS MUTUAL
Utah Other 73654 EDUCATORS MUTUAL
Utah Other 167286 EDUCATORS MUTUAL

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