Olson, Brad A

Olson, Brad A is an individual health care provider with primary practice located at 2250 Chapel Ave W Ste 120 , Cherry Hill NJ 08002-2051. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Olson, Brad A can be contacted via phone (856) 421-5660.

Contact Information

Primary practice address
2250 Chapel Ave W Ste 120 Cherry Hill NJ 08002-2051
Phone: (856) 421-5660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 35074948 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OH35074948O Ohio

Profile Details

NPI number 1225032147
LBN Legal business name Olson, Brad A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Feb 24th, 2021 - about 3 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 1225032147 NPPES
Ohio Other 000000141665 BLUE CROSS BLUE SHIELD PI
Ohio MEDICAID 2078988 BLUE CROSS BLUE SHIELD PI

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