Ott, Tommie
Ott, Tommie is an individual health care provider with primary practice located at 5177 Mccarty Ln , Lafayette IN 47905-8764. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Ott, Tommie can be contacted via phone (765) 448-8000.Contact Information
Primary practice address
5177 Mccarty Ln
Lafayette IN 47905-8764
Phone: (765) 448-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 28174042A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 71006022A | Indiana |
Profile Details
| NPI number | 1568837367 |
|---|---|
| LBN Legal business name | Ott, Tommie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2015 |
| Last updated | Feb 9th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568837367 | NPPES |
| Indiana | MEDICAID | 201342030 | |
| Indiana | Other | 000000993789 |
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