Organization
OLSEN CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC OLSEN (SOLE MBR)
(520) 578-8000
Entity
Organization
Contact information
Practice address
3055 S KINNEY RD, TUCSON, AZ 85713-5504
(520) 578-8000
(520) 578-8010
Mailing address
3055 S KINNEY RD, TUCSON, AZ 85713-5504
(520) 578-8000
(520) 578-8000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6032
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z5669
HEALTHNET AZ
AZ
01
—
350056346
RAILROAD MEDICARE
AZ
01
—
972614
FIRST HEALTH
AZ
01
—
AZ0936340
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
07/17/2009
Last updated
10/27/2017
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