Olson, Brett Joel
Olson, Brett Joel is an individual health care provider with primary practice located at 2700 23Rd St , Spirit Lake IA 51360-1158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Olson, Brett Joel can be contacted via phone (712) 336-2410.Contact Information
Primary practice address
2700 23Rd St
Spirit Lake IA 51360-1158
Phone: (712) 336-2410
Fax: (712) 336-3241
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 26855 | Iowa |
Profile Details
NPI number | 1346211646 |
---|---|
LBN Legal business name | Olson, Brett Joel |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 27th, 2006 |
Last updated | Dec 16th, 2009 - about 15 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 | 1346211646 | NPPES |
Iowa | MEDICAID | 2074393 |
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