Olin, Bruce W

Olin, Bruce W is an individual health care provider with primary practice located at 33 9Th St W , Dickinson ND 58601-3950. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Olin, Bruce W can be contacted via phone (701) 483-6017.

Contact Information

Primary practice address
33 9Th St W Dickinson ND 58601-3950
Fax: (701) 483-5018
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5805 North Dakota

Profile Details

NPI number 1134116775
LBN Legal business name Olin, Bruce W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Nov 19th, 2012 - about 14 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 1134116775 NPPES
North Dakota Other 5805 LICENSE
North Dakota MEDICAID 16153 LICENSE

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