Olson, Phyllis M.
Olson, Phyllis M. is an individual health care provider with primary practice located at 3310 S Main Street Suite D1, Anderson IN 46013-4234. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Olson, Phyllis M. can be contacted via phone (765) 622-7622.Contact Information
Primary practice address
3310 S Main Street Suite D1
Anderson IN 46013-4234
Phone: (765) 622-7622
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20041304A | Indiana |
Profile Details
| NPI number | 1962427187 |
|---|---|
| LBN Legal business name | Olson, Phyllis M. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Sep 5th, 2007 - about 17 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 | 1962427187 | NPPES |
| Indiana | MEDICAID | 200203950 |
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