Bottalico, Joseph

Bottalico, Joseph is an individual health care provider with primary practice located at 420 E 6Th St Suite 202, Odessa TX 79761-4529. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Bottalico, Joseph can be contacted via phone (432) 582-8757.

Contact Information

Primary practice address
420 E 6Th St Suite 202 Odessa TX 79761-4529
Phone: (432) 582-8757
Fax: (432) 582-8928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MB04176800 New Jersey
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X MB04176800 New Jersey
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X OS005732L Pennsylvania
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X P1969 Texas

Profile Details

NPI number 1538130653
LBN Legal business name Bottalico, Joseph
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jan 5th, 2016 - about 9 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 1538130653 NPPES
Texas MEDICAID 8895NO
Texas MEDICAID 2099101

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