Olson, Ellen T.

Olson, Ellen T. is an individual health care provider with primary practice located at 1850 N Central Ave 1600, Phoenix AZ 85004-4527. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Olson, Ellen T. can be contacted via phone (602) 744-4765.

Contact Information

Primary practice address
1850 N Central Ave 1600 Phoenix AZ 85004-4527
Phone: (602) 744-4765
Fax: (602) 744-4799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 40418 Arizona
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD00040224 Washington
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD00040224 Washington

Profile Details

NPI number 1457399248
LBN Legal business name Olson, Ellen T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Oct 27th, 2010 - about 14 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 1457399248 NPPES
Washington MEDICAID 8317463
Washington MEDICAID 360623
Washington Other P00842063

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