Olson, Thomas Ward

Olson, Thomas Ward is an sole proprietor health care provider with primary practice located at 1912 Middle Rd , Bettendorf IA 52722-3206. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Olson, Thomas Ward can be contacted via phone (563) 355-5513.

Contact Information

Primary practice address
1912 Middle Rd Bettendorf IA 52722-3206
Phone: (563) 355-5513
Fax: (563) 355-6024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 06884 Iowa

Profile Details

NPI number 1912028218
LBN Legal business name Olson, Thomas Ward
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2007
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912028218 NPPES
Iowa Other 20782 WELLMARK
Iowa MEDICAID 0207829 WELLMARK

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