Jamey Andrew Olson

Individual provider Active NPI Peer Specialist · Afton, OK

NPI 1548760705 · NPPES record last updated Feb 27, 2018

Key facts

NPI
1548760705
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
138 S. Main
Afton, OK 74331-1822
Phone
(918) 257-4244
Fax
(918) 257-4247
NPI assigned
Feb 14, 2018
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

138 S. Main
Afton, OK 74331-1822

Mailing address

138 S. Main
Afton, OK 74331-1822
Phone (918) 257-4244

Other providers in Afton, OK

All providers in Afton, OK · Peer Specialist in Oklahoma

Sources for this page

Verify at the official NPI Registry.