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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1639147028 NPPES
Other 85320FA BLUE CROSS BLUE SHIELD
Other 1265 BLUE CROSS BLUE SHIELD
Other 812989 BLUE CROSS BLUE SHIELD

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