NPI Code Details Logo

NPI 1174610919

NPI 1174610919 : BRIAN JOHN OLSON D.C. : COVINGTON, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1174610919
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    BRIAN JOHN OLSON D.C.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/05/2006
-----------------------------------------------------
    Last Update Date     |    12/17/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    473 E. TROY PIKE SUITE D
-----------------------------------------------------
    City                 |    COVINGTON
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    45318
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    937-473-5959
-----------------------------------------------------
    Fax                  |    937-473-2799
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    473 E. TROY PIKE SUITE D
-----------------------------------------------------
    City                 |    COVINGTON
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    45318
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    937-473-5959
-----------------------------------------------------
    Fax                  |    937-473-2799
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    111N00000X
-----------------------------------------------------
    Taxonomy Name        |    Chiropractor
-----------------------------------------------------
    License Number       |    2259
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.