Olson, David Glenn

Olson, David Glenn is an sole proprietor health care provider with primary practice located at 4005 W 65Th St Suite 204, Edina MN 55435-1720. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Olson, David Glenn can be contacted via phone (952) 920-2282.

Contact Information

Primary practice address
4005 W 65Th St Suite 204 Edina MN 55435-1720
Phone: (952) 920-2282
Fax: (952) 920-2219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X MNLP3475 Minnesota

Profile Details

NPI number 1174745681
LBN Legal business name Olson, David Glenn
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2007
Last updated Jul 8th, 2007 - about 17 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 1174745681 NPPES
Minnesota Other 6164976 UBH MEDICA
Minnesota Other 291M8NE UBH MEDICA

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