Jesse D. Olson

Organization Active NPI Foot & Ankle Surgery Podiatrist · Fort Pierre, SD

NPI 1124286760 · NPPES record last updated Jun 23, 2009

Key facts

NPI
1124286760
Entity type
Organization (NPI type 2)
Primary specialty
Foot & Ankle Surgery Podiatrist 213ES0103X
License
164 (SD)
Legal business name
JESSE D. OLSON
Practice address
202 Island Dr
Suite 1
Fort Pierre, SD 57532-7302
Phone
(605) 222-0661
NPI assigned
May 30, 2008
Organization subpart
No

Authorized official

Name
Dr. Jesse D Olson, DPM
Title
Owner
Phone
(605) 222-0661

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Mid Dakota Podiatry (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist
Group: 193400000X SINGLE SPECIALTY GROUP
213ES0103X 164 SD Yes

Addresses

Primary practice location

202 Island Dr
Suite 1
Fort Pierre, SD 57532-7302

Mailing address

PO Box 309
Pierre, SD 57501-0309
Phone (605) 222-0661

Other providers in Fort Pierre, SD

All providers in Fort Pierre, SD · Foot & Ankle Surgery Podiatrist in South Dakota

Sources for this page

Verify at the official NPI Registry.