Olson, Andrew R
Olson, Andrew R is an sole proprietor health care provider with primary practice located at 134 Russell Dr , Waynesboro MS 39367-4409. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Olson, Andrew R can be contacted via phone (601) 735-9373.Contact Information
Primary practice address
134 Russell Dr
Waynesboro MS 39367-4409
Phone: (601) 735-9373
Fax: (601) 735-5897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 201 | Mississippi |
Profile Details
| NPI number | 1235220997 |
|---|---|
| LBN Legal business name | Olson, Andrew R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235220997 | NPPES |
| Mississippi | MEDICAID | 00115018 |
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