Olson, Loren A
Olson, Loren A is an individual health care provider with primary practice located at 4908 Franklin Ave , Des Moines IA 50310-1901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Olson, Loren A can be contacted via phone (515) 280-4930.Contact Information
Primary practice address
4908 Franklin Ave
Des Moines IA 50310-1901
Phone: (515) 280-4930
Fax: (515) 309-0686
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 21941 | Iowa |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 2021003893 | Missouri |
Profile Details
NPI number | 1184613101 |
---|---|
LBN Legal business name | Olson, Loren A |
Credentials | M.D., D.L.F.A.P.A. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 21st, 2005 |
Last updated | Jul 12th, 2021 - about 3 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 | 1184613101 | NPPES |
Iowa | Other | 102269 | VALUE OPTIONS |
Iowa | Other | 1184613101 | VALUE OPTIONS |
Iowa | MEDICAID | 1184613101 | VALUE OPTIONS |
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