Susan Jayne Olson in Myrtle Beach - Addiction Medicine
Susan Jayne Olson - NPI 1205996303
Susan Jayne Olson is a Addiction Medicine in Myrtle Beach, South Carolina. Susan Jayne Olson practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Susan Jayne Olson is 1205996303. The last update date is 2022-07-21.
Susan Jayne Olson's current location address is 333 Welcome Dr, Myrtle Beach, South Carolina. You can contact this provider via phone number 8437121854 and fax number 8432131681. The mailing address for Susan Jayne Olson is 333 Welcome Dr, Myrtle Beach, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Jayne Olson |
|---|---|
| Address | 333 Welcome Dr, Myrtle Beach, South Carolina |
| Phone Number | 8437121854 |
| Fax Number | 8432131681 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1205996303 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 333 Welcome Dr |
|---|---|
| City | Myrtle Beach |
| State | South Carolina (SC) |
| Post Code | 295795374 |
| Phone Number | 8437121854 |
| Fax Number | 8432131681 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | 26014 |
|
Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30823300 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susan Jayne Olson?
The Susan Jayne Olson has been issued the NPI (National Provider Identifier) 1205996303 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Susan Jayne Olson's facilities are geographically located?
The facilities of Susan Jayne Olson are physically situated at the following location: 333 Welcome Dr, Myrtle Beach, SC, 295795374.
What is the Susan Jayne Olson's area of specialization and corresponding taxonomy classification?
The Susan Jayne Olson's specialty field is Addiction Medicine, and it falls under the taxonomy code 2084A0401X, which categorizes healthcare providers based on their specialties.
On what date did the Susan Jayne Olson receive its 1205996303 assignment from the Centers for Medicare & Medicaid Services?
The Susan Jayne Olson was assigned its 1205996303 by the Centers for Medicare & Medicaid Services on 2006-12-11.
When was the information regarding Susan Jayne Olson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Susan Jayne Olson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-21.
NPI Number: 1902802911
Address: 5593 Stewart St, Milton, FL