Otte, Melody

Otte, Melody is an individual health care provider with primary practice located at 111 Washington Ave Nw , Wagner SD 57380-4300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Otte, Melody can be contacted via phone (605) 491-0644.

Contact Information

Primary practice address
111 Washington Ave Nw Wagner SD 57380-4300
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CP000867 South Dakota

Profile Details

NPI number 1649686080
LBN Legal business name Otte, Melody
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2014
Last updated Mar 22nd, 2022 - about 4 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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