Olson, Jeffrey Klaus

Olson, Jeffrey Klaus is an individual health care provider with primary practice located at 1301 15Th Ave W , Williston ND 58801-3821. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Olson, Jeffrey Klaus can be contacted via phone (701) 774-7400.

Contact Information

Primary practice address
1301 15Th Ave W Williston ND 58801-3821
Fax: (701) 774-7479
Website:

Profile Details

NPI number 1093734683
LBN Legal business name Olson, Jeffrey Klaus
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Aug 20th, 2009 - about 17 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 1093734683 NPPES
Kansas MEDICAID 200421890A
Kansas Other 145410
Kansas Other 3665
Kansas MEDICAID 4304014
Kansas MEDICAID 12411
Kansas Other P00727369

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