Olson, Samuel Ivan
Olson, Samuel Ivan is an sole proprietor health care provider with primary practice located at 11550 Sheridan Blvd Ste 101 , Westminster CO 80020-3312. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Olson, Samuel Ivan can be contacted via phone (720) 464-3901.Contact Information
Primary practice address
11550 Sheridan Blvd Ste 101
Westminster CO 80020-3312
Phone: (720) 464-3901
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / General Practice | 1223G0001X | DEN.00204029 | Colorado |
Profile Details
| NPI number | 1124683818 |
|---|---|
| LBN Legal business name | Olson, Samuel Ivan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2019 |
| Last updated | Jul 29th, 2020 - about 6 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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