Provider Demographics
NPI:1174844815
Name:OLSON, ERIK JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:JOSEPH
Last Name:OLSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 PRINGLE WAY STE 900
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1464
Mailing Address - Country:US
Mailing Address - Phone:775-982-6270
Mailing Address - Fax:775-982-6271
Practice Address - Street 1:75 PRINGLE WAY STE 90075
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1464
Practice Address - Country:US
Practice Address - Phone:775-982-6270
Practice Address - Fax:775-982-6271
Is Sole Proprietor?:No
Enumeration Date:2010-06-17
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA117835208600000X
CAA1173852086S0102X, 2086S0127X
PAMD4603292086S0102X
NV273942086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV27394OtherNV MD LICENSE
NV14302334OtherCAQH