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Contact Information

MICHAEL OLSEN, MD
379 NORTH 500 WEST
SUITE 1A
VERNAL, UT84078
 Phone: 435-789-1165
 Fax: 435-789-1169
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MICHAEL OLSEN · (Male)

NPI # 1356437891
Status Active
Credentials MD
Entity Individual
Enumeration date 10/04/2006
Last updated 04/15/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 5352882-1205
Hospital affiliation(s)
  • ASHLEY VALLEY MEDICAL CENTER - (Acute Care)
    150 WEST 100 NORTH
    VERNAL, UT 84078
  • UINTAH BASIN MEDICAL CENTER - (Acute Care)
    250 WEST 300 NORTH (75-2)
    ROOSEVELT, UT 84066
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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