Bott-Kothari, Terri Lynn

Bott-Kothari, Terri Lynn is an individual health care provider with primary practice located at 5950 Metro Way Sw , Wyoming MI 49519-9514. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Bott-Kothari, Terri Lynn can be contacted via phone (616) 252-8160.

Contact Information

Primary practice address
5950 Metro Way Sw Wyoming MI 49519-9514
Phone: (616) 252-8160
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 077359 Michigan
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 4301077359 Michigan

Profile Details

NPI number 1558386607
LBN Legal business name Bott-Kothari, Terri Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Nov 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558386607 NPPES
Michigan MEDICAID 4284064
Michigan Other 920006063

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