Olson, Gayle Octa Brown
Olson, Gayle Octa Brown is an individual health care provider with primary practice located at 1407 S State Street , New Ulm MN 56073. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Olson, Gayle Octa Brown can be contacted via phone (507) 354-3181.Contact Information
Primary practice address
1407 S State Street
New Ulm MN 56073
Phone: (507) 354-3181
Fax: (507) 354-3183
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1405 | Minnesota |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 1405 | Minnesota |
Profile Details
NPI number | 1952404972 |
---|---|
LBN Legal business name | Olson, Gayle Octa Brown |
Credentials | LICSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 6th, 2006 |
Last updated | Mar 2nd, 2021 - about 4 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 | 1952404972 | NPPES |
Other | 9H125BR | BCBS | |
Other | 111536 | BCBS | |
Other | 6209623 | BCBS | |
Other | 1013861 | BCBS | |
Other | 577857300 | BCBS |
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