Olson, David Edwin

Olson, David Edwin is an individual health care provider with primary practice located at 3515 Broadway Ave , Yankton SD 57078-7600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Olson, David Edwin can be contacted via phone (605) 668-3100.

Contact Information

Primary practice address
3515 Broadway Ave Yankton SD 57078-7600
Phone: (605) 668-3100
Fax: (605) 668-3460
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 20299 Minnesota
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 7913 South Dakota

Profile Details

NPI number 1902867609
LBN Legal business name Olson, David Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jan 25th, 2011 - about 14 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 1902867609 NPPES
Minnesota MEDICAID 506080000

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