Olson, Judith K.

Olson, Judith K. is an sole proprietor health care provider with primary practice located at 526 Regency Dr , Laramie WY 82070-5106. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Olson, Judith K. can be contacted via phone (307) 745-8475.

Contact Information

Primary practice address
526 Regency Dr Laramie WY 82070-5106
Fax: (307) 745-5138
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 75 Wyoming

Profile Details

NPI number 1841399383
LBN Legal business name Olson, Judith K.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Oct 31st, 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 1841399383 NPPES
Wyoming Other 830277301 82070 A001 TRICARE
Wyoming Other 830277301-001 TRICARE
Wyoming Other 138809 TRICARE
Wyoming Other OLS305030 TRICARE

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