Olson, Douglas Arlo

Olson, Douglas Arlo is an individual health care provider with primary practice located at 640 Jackson St Mc 11103E, Saint Paul MN 55101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Olson, Douglas Arlo can be contacted via phone (651) 254-4796.

Contact Information

Primary practice address
640 Jackson St Mc 11103E Saint Paul MN 55101
Phone: (651) 254-4796
Fax: (651) 254-2741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 34006 Wisconsin
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 34335 Minnesota

Profile Details

NPI number 1396711321
LBN Legal business name Olson, Douglas Arlo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Oct 19th, 2022 - about 2 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 1396711321 NPPES
Minnesota MEDICAID 595762100

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