Olson, Jill Anne
Olson, Jill Anne is an individual health care provider with primary practice located at 2360 Mullan Rd Ste. D, Peak Performance Pt, Pc,, Missoula MT 59808-1811. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Olson, Jill Anne can be contacted via phone (406) 542-0808.Contact Information
Primary practice address
2360 Mullan Rd Ste. D, Peak Performance Pt, Pc,
Missoula MT 59808-1811
Phone: (406) 542-0808
Fax: (406) 542-0909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 379 | Montana |
Profile Details
| NPI number | 1770544421 |
|---|---|
| LBN Legal business name | Olson, Jill Anne |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770544421 | NPPES |
| Montana | Other | 61425 | BLUE CROSS PT NUMBER |
| Montana | MEDICAID | 0000348127 | BLUE CROSS PT NUMBER |
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