Olson, Dale Albert

Olson, Dale Albert is an individual health care provider with primary practice located at 13620 N 55Th Ave , Glendale AZ 85304-1371. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Olson, Dale Albert can be contacted via phone (602) 843-8433.

Contact Information

Primary practice address
13620 N 55Th Ave Glendale AZ 85304-1371
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1417336892
LBN Legal business name Olson, Dale Albert
Credentials COTA/L
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2015
Last updated Sep 29th, 2015 - about 10 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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