Olson, Jacob

Olson, Jacob is an individual health care provider with primary practice located at 1051 W Us Route 6 Suite 400, Morris IL 60450-4200. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Olson, Jacob can be contacted via phone (815) 942-8301.

Contact Information

Primary practice address
1051 W Us Route 6 Suite 400 Morris IL 60450-4200
Phone: (815) 942-8301
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X Illinois

Profile Details

NPI number 1225334543
LBN Legal business name Olson, Jacob
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2011
Last updated Dec 3rd, 2013 - about 11 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 1225334543 NPPES
Illinois Other P01228316 MEDICARE RAILROAD

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