Olson, Stephen Donald
Olson, Stephen Donald is an individual health care provider with primary practice located at 119 Ne First St Ste 4, Little Falls MN 56345. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Olson, Stephen Donald can be contacted via phone (320) 632-6621.Contact Information
Primary practice address
119 Ne First St Ste 4
Little Falls MN 56345
Phone: (320) 632-6621
Fax: (320) 632-1829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 9176 | Minnesota |
Profile Details
| NPI number | 1639147028 |
|---|---|
| LBN Legal business name | Olson, Stephen Donald |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1639147028 | NPPES |
| Other | 85320FA | BLUE CROSS BLUE SHIELD | |
| Other | 1265 | BLUE CROSS BLUE SHIELD | |
| Other | 812989 | BLUE CROSS BLUE SHIELD |
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