Olsen, Scott Frederic
Olsen, Scott Frederic is an sole proprietor health care provider with primary practice located at 3349 Niblick Dr , Park City UT 84098-5889. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Olsen, Scott Frederic can be contacted via phone (702) 521-6768.Contact Information
Primary practice address
3349 Niblick Dr
Park City UT 84098-5889
Phone: (702) 521-6768
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 6689 | Nevada |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 185861-1205 | Utah |
Profile Details
| NPI number | 1730151861 |
|---|---|
| LBN Legal business name | Olsen, Scott Frederic |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jan 10th, 2013 - about 11 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 | 1730151861 | NPPES |
| Nevada | MEDICAID | 2019419 |
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