Olsen, Alex Bryan

Olsen, Alex Bryan is an individual health care provider with primary practice located at 6161 S Yale Ave , Tulsa OK 74136-1902. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Olsen, Alex Bryan can be contacted via phone (918) 494-1805.

Contact Information

Primary practice address
6161 S Yale Ave Tulsa OK 74136-1902
Phone: (918) 494-1805
Fax: (918) 494-4573
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X R70161 Arizona
Allopathic & Osteopathic Physicians / Surgery 208600000X N9618 Texas
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X N9618 Texas
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X N9618 Texas
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 35592 Oklahoma

Profile Details

NPI number 1003014044
LBN Legal business name Olsen, Alex Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated Feb 2nd, 2023 - about 3 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 1003014044 NPPES
Oklahoma MEDICAID 200910850A

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