Anderson, Otis
Anderson, Otis is an sole proprietor health care provider with primary practice located at 5185 Getwell Rd , Southaven MS 38671-9691. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Anderson, Otis can be contacted via phone (662) 893-6300.Contact Information
Primary practice address
5185 Getwell Rd
Southaven MS 38671-9691
Phone: (662) 893-6300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 21754 | Mississippi |
Profile Details
| NPI number | 1932321742 |
|---|---|
| LBN Legal business name | Anderson, Otis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2007 |
| Last updated | Oct 13th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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