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Contact Information

OLSON CC WELLNESS LLC
307 N CASCADE STREET
OSCEOLA, WI54020
 Phone: 715-294-3211
 Fax: 715-417-3103
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for OLSON CC WELLNESS LLC

NPI # 1255842779
LBN Legal business name OLSON CC WELLNESS LLC
Authorized official DAVID OLSON - (SOLE MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/24/2017
Last updated 10/24/2017 - About 9 years ago
Identifiers
WI License # 4859-12
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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