Olson, Bradley Kent

Olson, Bradley Kent is an individual health care provider with primary practice located at 3930 Northwoods Dr , Arden Hills MN 55112-6963. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Olson, Bradley Kent can be contacted via phone (952) 853-8800.

Contact Information

Primary practice address
3930 Northwoods Dr Arden Hills MN 55112-6963
Phone: (952) 853-8800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20889 Minnesota

Profile Details

NPI number 1093783706
LBN Legal business name Olson, Bradley Kent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Dec 15th, 2020 - about 4 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 1093783706 NPPES
Minnesota MEDICAID 560885600

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