Olson, Richard L

Olson, Richard L is an individual health care provider with primary practice located at N3171 Starkey Lake Rd. , Shell Lake WI 54871. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Olson, Richard L can be contacted via phone (715) 468-2057.

Contact Information

Primary practice address
N3171 Starkey Lake Rd. Shell Lake WI 54871
Phone: (715) 468-2057
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 61226 Wisconsin

Profile Details

NPI number 1710046057
LBN Legal business name Olson, Richard L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Dec 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710046057 NPPES
Wisconsin MEDICAID 43394300

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