Olson, Timothy Mark
Olson, Timothy Mark is an sole proprietor health care provider with primary practice located at 3220 18Th St S Suite 2, Fargo ND 58104-6564. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Olson, Timothy Mark can be contacted via phone (701) 234-0028.Contact Information
Primary practice address
3220 18Th St S Suite 2
Fargo ND 58104-6564
Phone: (701) 234-0028
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 498 | North Dakota |
Profile Details
| NPI number | 1801945746 |
|---|---|
| LBN Legal business name | Olson, Timothy Mark |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801945746 | NPPES |
| North Dakota | MEDICAID | 16361 |
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