Olson, Jr., Walter L

Olson, Jr., Walter L is an individual health care provider with primary practice located at 401 E Chestnut St. Suite 510, Louisville KY 40202-5710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Olson, Jr., Walter L can be contacted via phone (502) 589-0802.

Contact Information

Primary practice address
401 E Chestnut St. Suite 510 Louisville KY 40202-5710
Phone: (502) 589-0802
Fax: (502) 589-0805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 29249 Kentucky

Profile Details

NPI number 1063479889
LBN Legal business name Olson, Jr., Walter L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 26th, 2016 - about 8 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 1063479889 NPPES
Kentucky MEDICAID 64029242

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