Olson, Loren A

Olson, Loren A is an individual health care provider with primary practice located at 4908 Franklin Ave , Des Moines IA 50310-1901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Olson, Loren A can be contacted via phone (515) 280-4930.

Contact Information

Primary practice address
4908 Franklin Ave Des Moines IA 50310-1901
Phone: (515) 280-4930
Fax: (515) 309-0686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 21941 Iowa
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2021003893 Missouri

Profile Details

NPI number 1184613101
LBN Legal business name Olson, Loren A
Credentials M.D., D.L.F.A.P.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jul 12th, 2021 - about 5 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 1184613101 NPPES
Iowa Other 102269 VALUE OPTIONS
Iowa Other 1184613101 VALUE OPTIONS
Iowa MEDICAID 1184613101 VALUE OPTIONS

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