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
Phone: (559) 459-4004
Fax: (559) 459-5029
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427032812 | NPPES |
Arizona | MEDICAID | 833146 |
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