Olson, Jeffrey Charles
Olson, Jeffrey Charles is an sole proprietor health care provider with primary practice located at 10731 Halfmoon Shoal Rd Apt 103 , Bonita Springs FL 34135-1753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Olson, Jeffrey Charles can be contacted via phone (800) 224-0859.Contact Information
Primary practice address
10731 Halfmoon Shoal Rd Apt 103
Bonita Springs FL 34135-1753
Phone: (800) 224-0859
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | OS7357 | Florida |
Profile Details
| NPI number | 1174507834 |
|---|---|
| LBN Legal business name | Olson, Jeffrey Charles |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2005 |
| 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 | 1174507834 | NPPES |
| Florida | Other | 57464 | BCBS |
| Florida | MEDICAID | 251761200 | BCBS |
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