Olson, Kelly
Olson, Kelly is an individual health care provider with primary practice located at 1201 25Th St S , Fargo ND 58103-2311. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Olson, Kelly can be contacted via phone (701) 451-4900.Contact Information
Primary practice address
1201 25Th St S
Fargo ND 58103-2311
Phone: (701) 451-4900
Fax: (651) 925-0057
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 1074 | Minnesota |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 2009-023 | North Dakota |
Profile Details
NPI number | 1790804409 |
---|---|
LBN Legal business name | Olson, Kelly |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 27th, 2007 |
Last updated | Feb 25th, 2020 - about 5 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 | 1790804409 | NPPES |
Minnesota | Other | HP51290 | HEALTH PARTNERS |
Minnesota | Other | 245K1OL | HEALTH PARTNERS |
Minnesota | Other | 3100200502 | HEALTH PARTNERS |
Minnesota | Other | 56560-B005 | HEALTH PARTNERS |
Minnesota | MEDICAID | 727623100 | HEALTH PARTNERS |
Minnesota | Other | 9398252 | HEALTH PARTNERS |
Minnesota | Other | 2352433 | HEALTH PARTNERS |
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