Provider Demographics
NPI:1134427073
Name:OLSON, DUANE J (DC)
Entity type:Individual
Prefix:
First Name:DUANE
Middle Name:J
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 1:5072 ANNUNCIATION CIR STE 310
Mailing Address - Street 2:
Mailing Address - City:AVE MARIA
Mailing Address - State:FL
Mailing Address - Zip Code:34142-9695
Mailing Address - Country:US
Mailing Address - Phone:239-990-7068
Mailing Address - Fax:239-990-7068
Practice Address - Street 1:5072 ANNUNCIATION CIR STE 230
Practice Address - Street 2:
Practice Address - City:AVE MARIA
Practice Address - State:FL
Practice Address - Zip Code:34142-9639
Practice Address - Country:US
Practice Address - Phone:239-990-7068
Practice Address - Fax:239-990-7068
Is Sole Proprietor?:No
Enumeration Date:2011-03-01
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5500111N00000X
FL12896111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor