Active NPI
Elizabeth Agnes Olson, D.C.
- Chiropractor
- Lake City, MN
National Provider Identifier
1760668693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5037
- Practice address
- 106 S Washington St
Lake City, MN 55041-1034 - Phone
- (651) 345-2785
- Fax
- (651) 345-5321
- NPI assigned
- Jan 10, 2008
- Last updated
- Jan 10, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 5037 | MN | Primary |
Addresses
Primary practice location
106 S Washington St
Lake City, MN 55041-1034
Mailing address
106 S Washington St
Lake City, MN 55041-1034
Phone (651) 345-2785
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5037 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essential Chiropractic SC | Chiropractor | Past | Accepting new patients |
| Valkos Chiropractic Office, LLC | Chiropractor | Past | Accepting new patients |
| Huelskamp Chiropractic Clinic, P.a. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515542400000",
"number": "1760668693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 S WASHINGTON ST",
"city": "LAKE CITY",
"state": "MN",
"postal_code": "550411034",
"telephone_number": "651-345-2785",
"fax_number": "651-345-5321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 S WASHINGTON ST",
"city": "LAKE CITY",
"state": "MN",
"postal_code": "550411034",
"telephone_number": "651-345-2785",
"fax_number": "651-345-5321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "ELIZABETH",
"middle_name": "AGNES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-10",
"last_updated": "2018-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.