Olson, Larry James
Olson, Larry James is an sole proprietor health care provider with primary practice located at 13762 Ember Rd , Rapid City SD 57702-7332. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Olson, Larry James can be contacted via phone (605) 342-3207.Contact Information
Primary practice address
13762 Ember Rd
Rapid City SD 57702-7332
Phone: (605) 342-3207
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 018A | South Dakota |
Profile Details
| NPI number | 1285748764 |
|---|---|
| LBN Legal business name | Olson, Larry James |
| Credentials | M.A.,CCC-A |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Jul 8th, 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 | 1285748764 | NPPES |
| South Dakota | MEDICAID | 5830480 |
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