Olson, Tracey Dawn
Olson, Tracey Dawn is an individual health care provider with primary practice located at 1015 S Broadway Ste 18 , Minot ND 58701-4667. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Olson, Tracey Dawn can be contacted via phone (701) 857-8500.Contact Information
Primary practice address
1015 S Broadway Ste 18
Minot ND 58701-4667
Phone: (701) 857-8500
Fax: (701) 857-8555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 079047 | North Dakota |
Profile Details
| NPI number | 1255463394 |
|---|---|
| LBN Legal business name | Olson, Tracey Dawn |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2007 |
| Last updated | May 26th, 2009 - about 15 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 | 1255463394 | NPPES |
| North Dakota | MEDICAID | 054517 |
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