| Specialty | Taxonomy Code | |
|---|---|---|
| * | Primary Care | 261QP2300X |
* Indicates primary specialty
| NPI Number | 1508635772 |
| Legal business name LBN |
PRAIRIE VIEW MEDICAL, PROF. LLC |
| Doing business as DBA |
PRAIRIE VIEW MEDICAL CLINIC |
| Authorized official | JENNIFER OLSON - (PRESIDENT/CEO) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 12/28/2023 |
| Last updated | 04/17/2024 - About 2 years ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
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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