Otten, Robert Drew
Otten, Robert Drew is an sole proprietor health care provider with primary practice located at 2180 Johnson Ave , San Luis Obispo CA 93401-4513. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Otten, Robert Drew can be contacted via phone (805) 781-4861.Contact Information
Primary practice address
2180 Johnson Ave
San Luis Obispo CA 93401-4513
Phone: (805) 781-4861
Fax: (805) 781-1227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | O0509301519 | California |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCI0101214 | California |
Profile Details
| NPI number | 1447387345 |
|---|---|
| LBN Legal business name | Otten, Robert Drew |
| Credentials | LAADC, M-RAS, CSC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Dec 14th, 2015 - about 11 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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