Olson, Heather

Olson, Heather is an individual health care provider with primary practice located at 1309 10Th Ave W , Mobridge SD 57601-1146. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Olson, Heather can be contacted via phone (605) 845-3692.

Contact Information

Primary practice address
1309 10Th Ave W Mobridge SD 57601-1146
Phone: (605) 845-3692
Fax: (605) 845-8252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0904 South Dakota

Profile Details

NPI number 1952723702
LBN Legal business name Olson, Heather
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2014
Last updated Nov 18th, 2015 - about 11 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 1952723702 NPPES
Other S108186 PTAN
MEDICAID 1952723702 PTAN

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