Othersen, Victoria Ann
Othersen, Victoria Ann is an individual health care provider with primary practice located at 362 Meridian Parke Ln Ste A , Greenwood IN 46142-9425. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Othersen, Victoria Ann can be contacted via phone (317) 528-8760.Contact Information
Primary practice address
362 Meridian Parke Ln Ste A
Greenwood IN 46142-9425
Phone: (317) 528-8760
Fax: (317) 528-8761
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO4288 | Maine |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02004084A | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34-007433 | Ohio |
Profile Details
| NPI number | 1629075429 |
|---|---|
| LBN Legal business name | Othersen, Victoria Ann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jun 29th, 2026 - about 5 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629075429 | NPPES |
| Indiana | Other | 000000522568 | ANTHEM |
| Indiana | MEDICAID | 200250180A | ANTHEM |
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