Active NPI
Terese M Olson, DC
- Chiropractor
- Eagle Lake, MN
National Provider Identifier
1396865614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2505
- Practice address
- 213 Parkway
Eagle Lake, MN 56024-0018 - Phone
- (507) 257-3726
- Fax
- (507) 257-3726
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2505 | MN | Primary |
Addresses
Primary practice location
213 Parkway
Eagle Lake, MN 56024-0018
Mailing address
PO Box 18
213 Parkway
Eagle Lake, MN 56024-0018
Phone (507) 257-3726
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62653OL | Other | MN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196726400000",
"number": "1396865614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18",
"address_2": "213 PARKWAY",
"city": "EAGLE LAKE",
"state": "MN",
"postal_code": "560240018",
"telephone_number": "507-257-3726",
"fax_number": "507-257-3726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 PARKWAY",
"city": "EAGLE LAKE",
"state": "MN",
"postal_code": "560240018",
"telephone_number": "507-257-3726",
"fax_number": "507-257-3726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "TERESE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2007-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "62653OL",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eagle Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.