Olsen, Jeffrey D

Olsen, Jeffrey D is an individual health care provider with primary practice located at Physical Med. And Rehab. (117) James Quillen Vamc, Mountain Home TN 37684. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Olsen, Jeffrey D can be contacted via phone (423) 926-1171.

Contact Information

Primary practice address
Physical Med. And Rehab. (117) James Quillen Vamc Mountain Home TN 37684
Phone: (423) 926-1171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0104001739 Virginia

Profile Details

NPI number 1124079439
LBN Legal business name Olsen, Jeffrey D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 8th, 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 1124079439 NPPES
Virginia Other 0104001739 LICENSE

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