Olson, Bradford L.
Olson, Bradford L. is an individual health care provider with primary practice located at 310 Sunnyview Ln , Kalispell MT 59901-3129. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Olson, Bradford L. can be contacted via phone (406) 752-5111.Contact Information
Primary practice address
310 Sunnyview Ln
Kalispell MT 59901-3129
Phone: (406) 752-5111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 7341 | Montana |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 7341 | Montana |
Profile Details
| NPI number | 1053337824 |
|---|---|
| LBN Legal business name | Olson, Bradford L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053337824 | NPPES |
| Washington | MEDICAID | 1082213 | |
| Washington | MEDICAID | 0043792 |
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