Olson, Leslie Gullahorn

Olson, Leslie Gullahorn is an individual health care provider with primary practice located at 2823 Fresno St , Fresno CA 93721-1324. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is her primary health care specialty. Olson, Leslie Gullahorn can be contacted via phone (559) 459-4004.

Contact Information

Primary practice address
2823 Fresno St Fresno CA 93721-1324
Fax: (559) 459-5029
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 24897 Arizona
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD482935 Pennsylvania
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X A76986 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A76986 California
Other Service Providers / Specialist 174400000X A76986 California

Profile Details

NPI number 1427032812
LBN Legal business name Olson, Leslie Gullahorn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Dec 8th, 2023 - about last year

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 1427032812 NPPES
Arizona MEDICAID 833146

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