Ott, Brian R

Ott, Brian R is an individual health care provider with primary practice located at 593 Eddy St Apc 6, Providence RI 02903-4923. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Ott, Brian R can be contacted via phone (401) 444-4000.

Contact Information

Primary practice address
593 Eddy St Apc 6 Providence RI 02903-4923
Phone: (401) 444-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD05819 Rhode Island
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD05819 Rhode Island
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD05819 Rhode Island

Profile Details

NPI number 1124054101
LBN Legal business name Ott, Brian R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Mar 3rd, 2016 - about 10 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 1124054101 NPPES
Rhode Island MEDICAID 9006551

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