Olson, Tamara Clare

Olson, Tamara Clare is an individual health care provider with primary practice located at 3900 E Bristol St , Elkhart IN 46514-4466. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Olson, Tamara Clare can be contacted via phone (800) 635-5516.

Contact Information

Primary practice address
3900 E Bristol St Elkhart IN 46514-4466
Phone: (800) 635-5516
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28143592A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71002496A Kansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71002496A Indiana

Profile Details

NPI number 1205023199
LBN Legal business name Olson, Tamara Clare
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2007
Last updated Jun 27th, 2022 - about 4 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 1205023199 NPPES
Indiana Other 000000550790 BCBS BMG MEDPOINT
Indiana MEDICAID 200899990 BCBS BMG MEDPOINT
Indiana Other 000000635078 BCBS BMG MEDPOINT
Indiana Other P00784113 BCBS BMG MEDPOINT
Indiana Other 000000550637 BCBS BMG MEDPOINT

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