Olson, Michelle M

Olson, Michelle M is an individual health care provider with primary practice located at 122 W Colorado Blvd , Dallas TX 75208-2382. She recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as her primary health care specialty. Olson, Michelle M can be contacted via phone (214) 947-6700.

Contact Information

Primary practice address
122 W Colorado Blvd Dallas TX 75208-2382
Phone: (214) 947-6700
Fax: (214) 947-6701
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MD424639 Pennsylvania
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 036129211 Illinois
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X U0412 Texas

Profile Details

NPI number 1366405102
LBN Legal business name Olson, Michelle M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Dec 5th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366405102 NPPES
Pennsylvania MEDICAID 101317244

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