Provider Demographics
NPI:1154317311
Name:OLSON, CHRISTOPHER P (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:P
Last Name:OLSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 S CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-4817
Mailing Address - Country:US
Mailing Address - Phone:605-335-0880
Mailing Address - Fax:605-335-8506
Practice Address - Street 1:2821 S CENTER AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-4817
Practice Address - Country:US
Practice Address - Phone:605-335-0880
Practice Address - Fax:605-335-8506
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD752111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD350035660OtherRAILROAD MEDICARE PTAN
SD7601590Medicaid
SDS1843Medicare PIN
SDU20372Medicare UPIN