Olsen, Brendon

Olsen, Brendon is an individual health care provider with primary practice located at 2233 State Route 86 , Saranac Lake NY 12983-5644. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Olsen, Brendon can be contacted via phone (518) 897-2317.

Contact Information

Primary practice address
2233 State Route 86 Saranac Lake NY 12983-5644
Phone: (518) 897-2317
Fax: (518) 897-2423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 025105 New York

Profile Details

NPI number 1912109174
LBN Legal business name Olsen, Brendon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2007
Last updated Jul 9th, 2007 - about 19 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 1912109174 NPPES
New York Other 025105 LICENSE
New York MEDICAID 00363213 LICENSE

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