Elizabeth Agnes Olson, D.C. – Chiropractor

Key facts

NPI: 1760668693
Entity type: Individual (NPI type 1)
Primary specialty: Chiropractor 111N00000X
License: 5037 (MN)
Practice address: 106 S Washington St
Lake City, MN 55041-1034
Phone: (651) 345-2785
Fax: (651) 345-5321
NPI assigned: Jan 10, 2008
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Essential Chiropractic SC Chiropractor · Red Wing, MN · NPI 1013244656

NPD (past) CHIROPRACTOR
Huelskamp Chiropractic Clinic, P.a. Chiropractor · Stewartville, MN · NPI 1477732261

NPD (past) CHIROPRACTOR
Valkos Chiropractic Office, LLC Clinic/Center · Lake City, MN · NPI 1194900936

NPD (past) CHIROPRACTOR

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
5037	MN	MD	Mental Health Counselor

Practice roles

Organization	Specialty	Status	New patients
Valkos Chiropractic Office, LLC	Chiropractor	Past since Oct 1, 2017	Accepting new patients
Huelskamp Chiropractic Clinic, P.a.	Chiropractor	Past since Oct 31, 2007	Accepting new patients
Essential Chiropractic SC	Chiropractor	Past since Jan 5, 2010	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor	111N00000X	5037	MN	Yes

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 10, 2018.

{
    "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

All providers in Lake City, MN · Chiropractor in Minnesota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.