Olson, Spencer

Olson, Spencer is an individual health care provider with primary practice located at 6120 Earle Brown Dr Suite 520, Brooklyn Center MN 55430-2123. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Olson, Spencer can be contacted via phone (763) 531-0566.

Contact Information

Primary practice address
6120 Earle Brown Dr Suite 520 Brooklyn Center MN 55430-2123
Phone: (763) 531-0566
Fax: (763) 531-0602
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP0838 Minnesota

Profile Details

NPI number 1588722524
LBN Legal business name Olson, Spencer
Credentials LP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Sep 14th, 2016 - about 8 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 1588722524 NPPES
Minnesota Other 94388 OPTUM
Minnesota Other 75232 OPTUM
Minnesota MEDICAID 364748000 OPTUM
Minnesota Other 45Q72OL OPTUM
Minnesota Other 6164000 OPTUM
Minnesota Other 101832C154 OPTUM
Minnesota Other HP19966 OPTUM
Minnesota Other 411425197 OPTUM
Minnesota Other 680009018 OPTUM

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