Olsen, Damaris A

Olsen, Damaris A is an sole proprietor health care provider with primary practice located at 5516 Lonas Dr., Bldg Ii Suite 250, Knoxville TN 37909-3247. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Psychiatric/Mental Health, Adult. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Olsen, Damaris A can be contacted via phone (865) 588-7132.

Contact Information

Primary practice address
5516 Lonas Dr., Bldg Ii Suite 250 Knoxville TN 37909-3247
Phone: (865) 588-7132
Fax: (865) 558-5967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X TNP0000001198 Tennessee
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X TNRN0000028104 Tennessee
Behavioral Health & Social Service Providers / Clinical 103TC0700X MDGL0004 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X P0000001198 Tennessee

Profile Details

NPI number 1609873884
LBN Legal business name Olsen, Damaris A
Credentials PHD, RN, MSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2005
Last updated Aug 24th, 2011 - about 15 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 1609873884 NPPES
Tennessee MEDICAID 3687897
Tennessee Other P0000001198

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