Olson, Clinton Jerrod
Olson, Clinton Jerrod is an individual health care provider with primary practice located at 1346 12Th St , Clarkston WA 99403. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Olson, Clinton Jerrod can be contacted via phone (509) 758-7805.Contact Information
Primary practice address
1346 12Th St
Clarkston WA 99403
Phone: (509) 758-7805
Fax: (509) 751-1510
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Denturist | 122400000X | DN00000046 | Washington |
Profile Details
NPI number | 1538625561 |
---|---|
LBN Legal business name | Olson, Clinton Jerrod |
Credentials | L.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 14th, 2019 |
Last updated | Feb 14th, 2019 - about 5 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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