Olson, Ellen L
Olson, Ellen L is an individual health care provider with primary practice located at 436 Sunrise Dr , Spring Green WI 53588-9286. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Olson, Ellen L can be contacted via phone (608) 588-2502.Contact Information
Primary practice address
436 Sunrise Dr
Spring Green WI 53588-9286
Phone: (608) 588-2502
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 38198 | Wisconsin |
Profile Details
| NPI number | 1306812045 |
|---|---|
| LBN Legal business name | Olson, Ellen L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Jun 12th, 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 | 1306812045 | NPPES |
| Wisconsin | MEDICAID | 32307100 | |
| Wisconsin | Other | 080129928 |
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