Olson, Thomas Obert

Olson, Thomas Obert is an individual health care provider with primary practice located at 250 Fame Ave Suite 206, Hanover PA 17331-1587. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Olson, Thomas Obert can be contacted via phone (717) 637-0202.

Contact Information

Primary practice address
250 Fame Ave Suite 206 Hanover PA 17331-1587
Phone: (717) 637-0202
Fax: (717) 637-5855
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DS038290 Pennsylvania

Profile Details

NPI number 1144540568
LBN Legal business name Olson, Thomas Obert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2010
Last updated Dec 27th, 2013 - about 11 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 1144540568 NPPES
Pennsylvania MEDICAID 1024778140001

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