Ottenbacher, Wendy K

Ottenbacher, Wendy K is an individual health care provider with primary practice located at 701 N Clayton St , Wilmington DE 19805-3165. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Ottenbacher, Wendy K can be contacted via phone (302) 421-4333.

Contact Information

Primary practice address
701 N Clayton St Wilmington DE 19805-3165
Phone: (302) 421-4333
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X D0065609 Maryland
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X L8872 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C1-008290 Delaware

Profile Details

NPI number 1114907367
LBN Legal business name Ottenbacher, Wendy K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2006
Last updated May 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114907367 NPPES
Maryland Other P00430507 RAILROAD
Maryland MEDICAID 1114907367 RAILROAD
Maryland MEDICAID 129151000 RAILROAD
Maryland MEDICAID 413046400 RAILROAD

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