Olson, David Stanley
Olson, David Stanley is an individual health care provider with primary practice located at 3537 W Front St Ste G, Traverse City MI 49684-7941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Olson, David Stanley can be contacted via phone (231) 935-8822.Contact Information
Primary practice address
3537 W Front St Ste G
Traverse City MI 49684-7941
Phone: (231) 935-8822
Fax: (231) 935-8837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301045961 | Michigan |
Profile Details
| NPI number | 1497733315 |
|---|---|
| LBN Legal business name | Olson, David Stanley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Nov 7th, 2016 - about 8 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 | 1497733315 | NPPES |
| Michigan | MEDICAID | 1540536 |
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