Olsson-Detwiler, Aleksandra

Olsson-Detwiler, Aleksandra is an individual health care provider with primary practice located at 1000 S Beckham Ave , Tyler TX 75701-1908. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Olsson-Detwiler, Aleksandra can be contacted via phone (903) 521-7838.

Contact Information

Primary practice address
1000 S Beckham Ave Tyler TX 75701-1908
Phone: (903) 521-7838
Fax: (903) 566-3297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L1685 Texas

Profile Details

NPI number 1740280510
LBN Legal business name Olsson-Detwiler, Aleksandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Jun 23rd, 2008 - about 18 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 1740280510 NPPES
Texas Other 8P9640 BCBS
Texas MEDICAID 167741101 BCBS
Texas Other P00151113 BCBS

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