Olson, Micah L
Olson, Micah L is an individual health care provider with primary practice located at 1920 E Cambridge Ave Ste 301 , Phoenix AZ 85006-1464. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is his primary health care specialty. Olson, Micah L can be contacted via phone (602) 933-0935.Contact Information
Primary practice address
1920 E Cambridge Ave Ste 301
Phoenix AZ 85006-1464
Phone: (602) 933-0935
Fax: (602) 933-2471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35470 | Arizona |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 35470 | Arizona |
Profile Details
| NPI number | 1417981440 |
|---|---|
| LBN Legal business name | Olson, Micah L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Mar 26th, 2018 - about 6 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 | 1417981440 | NPPES |
| Arizona | MEDICAID | 122062 |
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