Olson, Thomas Anthony
Olson, Thomas Anthony is an individual health care provider with primary practice located at 2115 Summit Ave , Saint Paul MN 55105-1096. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Olson, Thomas Anthony can be contacted via phone (612) 968-5133.Contact Information
Primary practice address
2115 Summit Ave
Saint Paul MN 55105-1096
Phone: (612) 968-5133
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1942743950 |
|---|---|
| LBN Legal business name | Olson, Thomas Anthony |
| Credentials | LAT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2016 |
| Last updated | Jan 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942743950 | NPPES |
| Other | 2000028350 | NATA BOARD OF CERTIFICATION | |
| Other | 3105 | NATA BOARD OF CERTIFICATION |
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