Olson, Mark Dale
Olson, Mark Dale is an sole proprietor health care provider with primary practice located at 130 Lake Blvd South , Buffalo MN 55313. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Olson, Mark Dale can be contacted via phone (763) 682-1849.Contact Information
Primary practice address
130 Lake Blvd South
Buffalo MN 55313
Phone: (763) 682-1849
Fax: (763) 684-1864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2573 | Minnesota |
Profile Details
| NPI number | 1780778274 |
|---|---|
| LBN Legal business name | Olson, Mark Dale |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Sep 18th, 2013 - about 13 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 | 1780778274 | NPPES |
| Minnesota | MEDICAID | 464528600 |
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