Olson, Jon B

Olson, Jon B is an individual health care provider with primary practice located at 21701 76Th Ave W #203, Edmonds WA 98026-7536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Olson, Jon B can be contacted via phone (425) 774-5163.

Contact Information

Primary practice address
21701 76Th Ave W #203 Edmonds WA 98026-7536
Phone: (425) 774-5163
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 00014086 Washington

Profile Details

NPI number 1487703922
LBN Legal business name Olson, Jon B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Oct 26th, 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 1487703922 NPPES
Washington Other 43512 L&I
Washington Other OL0950 L&I

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