Olson, Kenneth A
Olson, Kenneth A is an individual health care provider with primary practice located at 3266 Sycamore Rd , Dekalb IL 60115-9621. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Olson, Kenneth A can be contacted via phone (815) 756-8524.Contact Information
Primary practice address
3266 Sycamore Rd
Dekalb IL 60115-9621
Phone: (815) 756-8524
Fax: (815) 756-1841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070005671 | Illinois |
Profile Details
| NPI number | 1467438986 |
|---|---|
| LBN Legal business name | Olson, Kenneth A |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Apr 26th, 2017 - about 9 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 | 1467438986 | NPPES |
| Other | 650018275 | RAILROAD MEDICARE |
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