Olsen, Jill

Olsen, Jill is an individual health care provider with primary practice located at 100 County Road B , Shawano WI 54166-7072. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Olsen, Jill can be contacted via phone (715) 524-2161.

Contact Information

Primary practice address
100 County Road B Shawano WI 54166-7072
Phone: (715) 524-2161
Fax: (715) 524-8164
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3792 Wisconsin

Profile Details

NPI number 1750510103
LBN Legal business name Olsen, Jill
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2009
Last updated Aug 31st, 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 1750510103 NPPES
Wisconsin MEDICAID 1750510103

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