Olson, Tara M
Olson, Tara M is an individual health care provider with primary practice located at 401 Phalen Blvd , Saint Paul MN 55130-5302. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Olson, Tara M can be contacted via phone (651) 254-8290.Contact Information
Primary practice address
401 Phalen Blvd
Saint Paul MN 55130-5302
Phone: (651) 254-8290
Fax: (651) 254-8299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 9697 | Minnesota |
Profile Details
| NPI number | 1316913395 |
|---|---|
| LBN Legal business name | Olson, Tara M |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Apr 5th, 2021 - about 3 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 | 1316913395 | NPPES |
| Minnesota | MEDICAID | 213244300 |
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