Olson, Tatiana Carlin

Olson, Tatiana Carlin is an individual health care provider with primary practice located at 1001 Noble St , Fairbanks AK 99701-4922. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Olson, Tatiana Carlin can be contacted via phone (907) 458-2682.

Contact Information

Primary practice address
1001 Noble St Fairbanks AK 99701-4922
Fax: (907) 458-2628
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 661 Alaska

Profile Details

NPI number 1033184536
LBN Legal business name Olson, Tatiana Carlin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Mar 7th, 2023 - about 3 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 1033184536 NPPES
Alaska MEDICAID 1020150

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