Otteman, Larry A.
Otteman, Larry A. is an individual health care provider with primary practice located at 1111 Duff Ave , Ames IA 50010-3014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Otteman, Larry A. can be contacted via phone (515) 239-4401.Contact Information
Primary practice address
1111 Duff Ave
Ames IA 50010-3014
Phone: (515) 239-4401
Fax: (515) 239-4791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 24794 | Iowa |
Profile Details
| NPI number | 1528059078 |
|---|---|
| LBN Legal business name | Otteman, Larry A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Aug 23rd, 2012 - about 14 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 | 1528059078 | NPPES |
| Iowa | MEDICAID | 0031609 |
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