Olson, Jeremi Thomas

Olson, Jeremi Thomas is an individual health care provider with primary practice located at 700 S Park St Dean St. Mary'S Outpatient Center, Madison WI 53715-1830. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Olson, Jeremi Thomas can be contacted via phone (608) 260-2900.

Contact Information

Primary practice address
700 S Park St Dean St. Mary'S Outpatient Center Madison WI 53715-1830
Phone: (608) 260-2900
Fax: (608) 260-7975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1489-023 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1489-023 Wisconsin

Profile Details

NPI number 1003803339
LBN Legal business name Olson, Jeremi Thomas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Apr 15th, 2009 - about 15 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 1003803339 NPPES
Wisconsin Other 60570 DEAN HEALTH INSURANCE
Wisconsin MEDICAID 41966100 DEAN HEALTH INSURANCE

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