Olson, Theodore Kent

Olson, Theodore Kent is an individual health care provider with primary practice located at 1000 N Oak Ave , Marshfield WI 54449. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Olson, Theodore Kent can be contacted via phone (715) 389-3825.

Contact Information

Primary practice address
1000 N Oak Ave Marshfield WI 54449
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1675 Wisconsin

Profile Details

NPI number 1912009614
LBN Legal business name Olson, Theodore Kent
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 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 1912009614 NPPES
Wisconsin MEDICAID 39092400

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