Theodore Olson is a Specialist in Santa Rosa, California. Theodore Olson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Theodore Olson is 1417041591. The last update date is 2007-07-08.
Theodore Olson's current location address is 196 Sotoyome St, Santa Rosa, California. You can contact this provider via phone number 7075280565 and fax number 7075286403. The mailing address for Theodore Olson is 196 Sotoyome St, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore Olson |
|---|---|
| Address | 196 Sotoyome St, Santa Rosa, California |
| Phone Number | 7075280565 |
| Fax Number | 7075286403 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417041591 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 196 Sotoyome St |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954054800 |
| Phone Number | 7075280565 |
| Fax Number | 7075286403 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A212232 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Theodore Olson by the Centers for Medicare & Medicaid Services?
The Theodore Olson has been issued the NPI (National Provider Identifier) 1417041591 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Theodore Olson is physically located?
The Theodore Olson is physically situated at the following address: 196 Sotoyome St, Santa Rosa, CA, 954054800.
What is Theodore Olson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Theodore Olson is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417041591 to Theodore Olson?
The Centers for Medicare & Medicaid Services originally issued the 1417041591 to Theodore Olson on 2006-10-03.
When was the Theodore Olson's information last updated?
The Theodore Olson's information was last updated on 2007-07-08.