Olson, Jennifer Ann

Olson, Jennifer Ann is an individual health care provider with primary practice located at 747 52Nd Street Chrco Endocrinology, Oakland CA 94609-1809. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Olson, Jennifer Ann can be contacted via phone (510) 428-3654.

Contact Information

Primary practice address
747 52Nd Street Chrco Endocrinology Oakland CA 94609-1809
Phone: (510) 428-3654
Fax: (510) 450-5614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X A055142 California

Profile Details

NPI number 1194739540
LBN Legal business name Olson, Jennifer Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 8th, 2007 - about 18 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 1194739540 NPPES
California MEDICAID 00A551420

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