Olson, Ty Conrad

Olson, Ty Conrad is an individual health care provider with primary practice located at Msc10 5610 , Albuquerque NM 81731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Olson, Ty Conrad can be contacted via phone (505) 272-4161.

Contact Information

Primary practice address
Msc10 5610 Albuquerque NM 81731
Fax: (505) 272-2776
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD2024-0401 New Mexico

Profile Details

NPI number 1609365501
LBN Legal business name Olson, Ty Conrad
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2018
Last updated Jul 16th, 2024 - about last year

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.

Request for update

Popular Providers