NPI 1336480854 MR. PAUL THEODORE OLSON LMSW MARQUETTE MI. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mr. Paul Theodore Olson - NPI: 1336480854

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MR. PAUL THEODORE OLSON
NPI Number: 1336480854
Entity Type Code: Individual (1)
Gender: M
Credentials: LMSW
License Number:
Business Practice Address: 97 S. 4th St Suite F
Ishpeming, MI - 19849
Business Phone Number: 9064852347
Business Fax Number: 9064861150
Mailing Address: 201 Rubleins St Suite A, Great Lakes Recovery Centers
MARQUETTE
State: MI
Postal Code: 498554060
Phone Number: 9062289699
Fax Number: 9062280505
NPI Enumeration Date: 03/07/2013
NPI Last Update Date: 12/30/2013
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 1041C0700X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
N
State:
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Social Worker
Taxonomy Specialization: Clinical
Taxonomy Definition:
A social worker who holds a master


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