Otterness, Phillip Martin

Otterness, Phillip Martin is an sole proprietor health care provider with primary practice located at 3152 23Rd Ave S Apt 2 , Minneapolis MN 55407-5573. He recently has only one registered license in Agencies / Case Management, which is considered as his primary health care specialty. Otterness, Phillip Martin can be contacted via phone (612) 321-8008.

Contact Information

Primary practice address
3152 23Rd Ave S Apt 2 Minneapolis MN 55407-5573
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1154193639
LBN Legal business name Otterness, Phillip Martin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2023
Last updated Oct 26th, 2023 - about 3 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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