Olson, David Glenn
Olson, David Glenn is an sole proprietor health care provider with primary practice located at 4005 W 65Th St Suite 204, Edina MN 55435-1720. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Olson, David Glenn can be contacted via phone (952) 920-2282.Contact Information
Primary practice address
4005 W 65Th St Suite 204
Edina MN 55435-1720
Phone: (952) 920-2282
Fax: (952) 920-2219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | MNLP3475 | Minnesota |
Profile Details
| NPI number | 1174745681 |
|---|---|
| LBN Legal business name | Olson, David Glenn |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2007 |
| 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 | 1174745681 | NPPES |
| Minnesota | Other | 6164976 | UBH MEDICA |
| Minnesota | Other | 291M8NE | UBH MEDICA |
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