Healthcare Provider Details

I. General information

NPI: 1700957495
Provider Name (Legal Business Name): JOHN W OLSON D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 WILLIAM S CANNING BLVD UNIT 3
FALL RIVER MA
02721-5603
US

IV. Provider business mailing address

2263 ACUSHNET AVE
NEW BEDFORD MA
02745-2827
US

V. Phone/Fax

Practice location:
  • Phone: 774-520-0033
  • Fax:
Mailing address:
  • Phone: 508-998-1822
  • Fax: 508-998-1829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2484
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: