Olson, Elis Y
Olson, Elis Y is an individual health care provider with primary practice located at 2925 Chicago Ave , Minneapolis MN 55407-1321. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Olson, Elis Y can be contacted via phone (651) 241-9700.Contact Information
Primary practice address
2925 Chicago Ave
Minneapolis MN 55407-1321
Phone: (651) 241-9700
Fax: (651) 241-9683
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 00020602 | Alabama |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 00020602 | Alabama |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | 15576 | Nevada |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 15576 | Nevada |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G157727 | California |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 75935 | Minnesota |
Profile Details
| NPI number | 1285629923 |
|---|---|
| LBN Legal business name | Olson, Elis Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Jun 17th, 2024 - about 6 months 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 | 1285629923 | NPPES |
| Alabama | Other | 200174262 | CHAMPUS |
| Alabama | MEDICAID | 009939515 | CHAMPUS |
| Alabama | Other | 051518178 | CHAMPUS |
| Alabama | Other | 2011312 | CHAMPUS |
| Alabama | Other | 4297420 | CHAMPUS |
| Alabama | Other | 051032416 | CHAMPUS |
| Alabama | Other | 200174262 | CHAMPUS |
| Alabama | Other | N18178 | CHAMPUS |
| Alabama | MEDICAID | 000032416 | CHAMPUS |
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