GRANT SYLVESTER OLSEN


Address: 3910 Newport Ave Apt 13, Fort Wayne, IN 46805-1383
Phone: 6127973504

GRANT SYLVESTER OLSEN (NPI# 1962016931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962016931
Entity Type Individual
Full Name GRANT SYLVESTER OLSEN
Credential PA-S
Practice Address 3910 Newport Ave Apt 13
Fort Wayne
IN 46805-1383
Practice Telephone 6127973504
Mailing Telephone 6127913504
Enumeration Date 2020-09-07
Last Update Date 2020-09-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
1819 Carew St, Fort Wayne, IN 468054705 6127913504
3910 Newport Ave Apt 13, Fort Wayne, IN 468051383 6127913504

Other Providers GRANT OLSEN

NPI Name Taxonomy Address Enumeration
1750590550 Grant Joseph Olsen Internal Medicine 411 W Tipton St, Seymour, IN 47274-2363 2007-05-21

Office Location

Street Address 3910 NEWPORT AVE APT 13
City FORT WAYNE
State IN
Zip Code 46805-1383

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619589546 Connor Gemlick Student in an Organized Health Care Education/Training Program 1918 Carew St., Fort Wayne, IN 46805 2020-08-21
1710464086 S.t.a.r. Care Services Clinic/Center 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 2018-07-19
1083122865 Noel Shafi Counselor 3010 East State Boulevard, Fort Wayne, IN 46805 2018-01-16
1063963627 Toni L Irby Specialist 3219 E State Blvd, Fort Wayne, IN 46805 2016-10-19
1639626211 Logan Schwerer Pharmacist 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 2016-09-01
1063817104 Michale Diane Rothgeb Physical Therapy Assistant 2200 Randollia Dr, Fort Wayne, IN 46805 2014-10-31
1124435789 Julia I. Mcfann Physical Therapist 2200 Randalia Dr, Fort Wayne, IN 46805 2014-07-16
1083036974 Capital Senior Living Properties 4, Inc. Assisted Living Facility 3320 East State Boulevard, Fort Wayne, IN 46805 2014-01-10
1356772396 Alexander James Medical Supply Durable Medical Equipment & Medical Supplies 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 2013-12-02
1043595689 Randy James Jennings Pharmacist 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 2011-10-14
Find all providers in zip 46805

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619589546 Connor Gemlick Student in an Organized Health Care Education/Training Program 1918 Carew St., Fort Wayne, IN 46805 2020-08-21
1790394146 Katie Patterson Student in an Organized Health Care Education/Training Program 2907 Westbrook Dr Apt 101, Fort Wayne, IN 46805-2055 2020-07-30
1891304689 Alexi Nicole Seely Student in an Organized Health Care Education/Training Program 2423 Kenwood Ave, Fort Wayne, IN 46805-2755 2020-07-28
1659980365 Laura Kraft Student in an Organized Health Care Education/Training Program 3822 Newport Ave Apt 2, Fort Wayne, IN 46805-1376 2020-07-28
1073145983 Caelan Williams Student in an Organized Health Care Education/Training Program 6500 Saint Joe Rd Apt 116, Fort Wayne, IN 46835-1935 2020-02-08
1770131948 Donzhae Lee Student in an Organized Health Care Education/Training Program 2510 Thompson Ave, Fort Wayne, IN 46807-1051 2019-08-30
1700440641 Mary Danny Dickow Student in an Organized Health Care Education/Training Program 1804 Cymbeline Ct, Fort Wayne, IN 46818-9265 2019-04-25
1477086189 Yogesh Jonna Student in an Organized Health Care Education/Training Program 3929 Heron Preserve Trl, Fort Wayne, IN 46814-7578 2017-04-10
1922547702 Zin Than Student in an Organized Health Care Education/Training Program 833 Dantes Voyage Dr, Fort Wayne, IN 46845-2072 2017-02-14
1639616329 Thomas Coleman Student in an Organized Health Care Education/Training Program 6110 Sapphire Trl, Fort Wayne, IN 46804-6290 2017-01-19
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46805

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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