Olson, Mark A
Olson, Mark A is an individual health care provider with primary practice located at 1321 W Dakota Pkwy , Williston ND 58801-3807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Olson, Mark A can be contacted via phone (701) 572-7711.Contact Information
Primary practice address
1321 W Dakota Pkwy
Williston ND 58801-3807
Phone: (701) 572-7711
Fax: (701) 572-2283
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 6450 | North Dakota |
Profile Details
| NPI number | 1023182110 |
|---|---|
| LBN Legal business name | Olson, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Dec 26th, 2023 - about 2 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 | 1023182110 | NPPES |
| North Dakota | MEDICAID | 1451763 |
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