Richard A Olson is a Chiropractor in Peoria, Illinois. Richard A Olson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Richard A Olson is 1124194113. The last update date is 2020-08-22.
Richard A Olson's current location address is 300 East War Memorial Drive, Peoria, Illinois. You can contact this provider via phone number 3096887777 and fax number 3096887779. The mailing address for Richard A Olson is 300 East War Memorial Drive, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Richard A Olson |
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Address | 300 East War Memorial Drive, Peoria, Illinois |
Phone Number | 3096887777 |
Fax Number | 3096887779 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Olson Alan Richard |
Credentials | DC |
Telephone Number | 3096887777 |
NPI Number Detail
NPI Number | 1124194113 |
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Provider Enumeration Date | 2006-11-28 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 300 East War Memorial Drive |
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City | Peoria |
State | Illinois (IL) |
Post Code | 61614 |
Phone Number | 3096887777 |
Fax Number | 3096887779 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
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 inte |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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7282057 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Richard A Olson by the Centers for Medicare & Medicaid Services (CMS)?
The Richard A Olson has been assigned the NPI (National Provider Identifier) 1124194113. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Richard A Olson is physically located?
The Richard A Olson is situated at the following address: 300 East War Memorial Drive, Peoria, IL 61614.
What is Richard A Olson's area of expertise and its corresponding taxonomy classification?
The Richard A Olson's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Richard A Olson receive its 1124194113 assignment from the Centers for Medicare & Medicaid Services?
The Richard A Olson was assigned its 1124194113 by the Centers for Medicare & Medicaid Services on 2006-11-28.
As of what date were the details related to Richard A Olson most recently updated or revised?
The information pertaining to Richard A Olson, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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