Olson, Mark A

Olson, Mark A is an individual health care provider with primary practice located at 11012 E 13 Mile Rd Suite 112, Warren MI 48093-2572. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Olson, Mark A can be contacted via phone (586) 573-6880.

Contact Information

Primary practice address
11012 E 13 Mile Rd Suite 112 Warren MI 48093-2572
Phone: (586) 573-6880
Fax: (586) 573-2562
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4301044866 Michigan

Profile Details

NPI number 1225020746
LBN Legal business name Olson, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Nov 8th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225020746 NPPES
Michigan MEDICAID 1997933
Michigan Other 700E021830
Michigan Other 700F340300
Michigan Other MO044866
Michigan Other 700E021910

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