Olson, Bradley W.

Olson, Bradley W. is an individual health care provider with primary practice located at 3375 N Arlington Heights Rd Suite F, Arlington Heights IL 60004-7701. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Olson, Bradley W. can be contacted via phone (847) 577-4530.

Contact Information

Primary practice address
3375 N Arlington Heights Rd Suite F Arlington Heights IL 60004-7701
Fax: (847) 577-4306
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1366595282
LBN Legal business name Olson, Bradley W.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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 1366595282 NPPES
Illinois Other 1437243094 GROUP PROVIDER

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