Samuel John Olsen in Etowah - Sports Medicine
Samuel John Olsen - NPI 1760448591
Samuel John Olsen is a Sports Medicine in Etowah, Tennessee. Samuel John Olsen practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Samuel John Olsen is 1760448591. The last update date is 2007-11-07.
Samuel John Olsen's current location address is Po Box 325, Etowah, Tennessee. You can contact this provider via phone number 4232632444 and fax number 4232631553. The mailing address for Samuel John Olsen is Po Box 325, Etowah, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel John Olsen |
|---|---|
| Address | Po Box 325, Etowah, Tennessee |
| Phone Number | 4232632444 |
| Fax Number | 4232631553 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1760448591 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2007-11-07 |
Provider Mailing Address Detail
| Address | Po Box 325 |
|---|---|
| City | Etowah |
| State | Tennessee (TN) |
| Post Code | 373310325 |
| Phone Number | 4232632444 |
| Fax Number | 4232631553 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Rs0010X |
| Licence No | 39591 |
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Definition: An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and exp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3330104 | TN | -- | |
| 4108690 | TN | BCBS | |
| P00237341 | TN | MEDICARE RR |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Samuel John Olsen by the Centers for Medicare & Medicaid Services?
The Samuel John Olsen has been assigned the NPI (National Provider Identifier) 1760448591 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Samuel John Olsen?
The Samuel John Olsen is physically situated at Po Box 325, in the city of Etowah, state of TN, with the postal code 373310325.
What is Samuel John Olsen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Samuel John Olsen is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 207Rs0010X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760448591 to Samuel John Olsen?
The Centers for Medicare & Medicaid Services originally issued the 1760448591 to Samuel John Olsen on 2006-04-21.
When was the information related to Samuel John Olsen most recently updated or refreshed?
The details pertaining to the Samuel John Olsen, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-07.