Olson, Kristian R

Olson, Kristian R is an individual health care provider with primary practice located at 55 Fruit Street Ell1934, Boston MA 02114-2696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Olson, Kristian R can be contacted via phone (617) 726-2241.

Contact Information

Primary practice address
55 Fruit Street Ell1934 Boston MA 02114-2696
Phone: (617) 726-2241
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 206798 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 206798 Massachusetts

Profile Details

NPI number 1023197498
LBN Legal business name Olson, Kristian R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2006
Last updated Jul 8th, 2007 - about 18 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 1023197498 NPPES
Massachusetts Other J24613 BCBS MA
Massachusetts Other 206798 BCBS MA
Massachusetts MEDICAID 0168670 BCBS MA

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