Olsen, Gordon S
Olsen, Gordon S is an individual health care provider with primary practice located at 454 E Medical Way , Heber City UT 84032-1391. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Olsen, Gordon S can be contacted via phone (435) 722-4691.Contact Information
Primary practice address
454 E Medical Way
Heber City UT 84032-1391
Phone: (435) 722-4691
Fax: (435) 722-9291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 2689281204 | Utah |
Profile Details
| NPI number | 1235237744 |
|---|---|
| LBN Legal business name | Olsen, Gordon S |
| Credentials | DOPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | May 12th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235237744 | NPPES |
| Wyoming | MEDICAID | 117765600 |
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