Organization Name: | BRIAN W OLSON & ASSOCIATES S C |
NPI Number: | 1316089741 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KERRY L. KORTBEIN (OFFICE MANAGER) |
Mailing Address: | 301 Superior Ave Tomah |
State: | WI US |
Postal Code: | 54660 |
Phone Number: | 6083725922 |
Fax Number: | 6083725950 |
NPI Enumeration Date: | 02/13/2007 |
NPI Last Update Date: | 01/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 3311-012 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
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. |