| Organization Name: | OLSON CHIROPRACTIC HEALTH CENTER PLLC |
| NPI Number: | 1134551310 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICOLE LYN OLSON (OWNER) |
| Mailing Address: | 1510 Sw Oralabor Rd Suite B Ankeny |
| State: | IA US |
| Postal Code: | 500237079 |
| Phone Number: | 5152891015 |
| Fax Number: | 5152893775 |
| NPI Enumeration Date: | 07/30/2013 |
| NPI Last Update Date: | 10/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 007290 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |