Gilmore-Olson, Suzanne M

Gilmore-Olson, Suzanne M is an individual health care provider with primary practice located at 1015 S Broadway Suite 18, Minot ND 58701-4667. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Gilmore-Olson, Suzanne M can be contacted via phone (701) 857-8500.

Contact Information

Primary practice address
1015 S Broadway Suite 18 Minot ND 58701-4667
Phone: (701) 857-8500
Fax: (701) 857-8555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 1646 North Dakota
Other Service Providers / Case Manager/Care Coordinator 171M00000X North Dakota

Profile Details

NPI number 1487718169
LBN Legal business name Gilmore-Olson, Suzanne M
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Dec 3rd, 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 1487718169 NPPES
North Dakota MEDICAID 054517

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