Individual
DR. WAYNE MERLIN OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1355 N MAIN ST, SUITE 6, BOUNTIFUL, UT 84010-5981
(801) 298-9190
(801) 298-2451
Mailing address
1355 N MAIN ST, SUITE 6, BOUNTIFUL, UT 84010-5981
(801) 298-9190
(801) 298-2451
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4821942-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107003489101
SELECT HEALTH
UT
01
—
48219421200001
FEDERAL BLUE CROSS
UT
01
—
62884
PUBLIC EMPLOYEES HEALTH P
UT
01
—
691629
DESERET MUTUAL BENEFITS
UT
01
—
P00063641
PALMETTO
UT
01
—
ZZZZZZZ
UNITED HEALTH CARE
UT
Enumeration date
08/05/2006
Last updated
08/20/2007
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