Olson, Calvin
Olson, Calvin is an individual health care provider with primary practice located at 1409 E Briggsmore Ave , Modesto CA 95355-2707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Olson, Calvin can be contacted via phone (209) 550-4750.Contact Information
Primary practice address
1409 E Briggsmore Ave
Modesto CA 95355-2707
Phone: (209) 550-4750
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | C39482 | California |
Profile Details
| NPI number | 1740230713 |
|---|---|
| LBN Legal business name | Olson, Calvin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Nov 11th, 2010 - 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 | 1740230713 | NPPES |
| California | MEDICAID | 00C394820 |
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