Doctor Name: | DR. KEITH L OLSEN |
NPI Number: | 1093856775 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 22111 |
Business Practice Address: | 1521 N Schnoor St Suite 101 Madera, CA - 936373602 |
Business Phone Number: | 5596611045 |
Business Fax Number: | 5596611078 |
Mailing Address: | 1521 N Schnoor St, Suite 101 MADERA |
State: | CA |
Postal Code: | 936373602 |
Phone Number: | 5596611045 |
Fax Number: | 5596611078 |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 22111 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |