Ottey, Deron C. K.

Ottey, Deron C. K. is an sole proprietor health care provider with primary practice located at 115 E 19Th St , Roswell NM 88201-5110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Ottey, Deron C. K. can be contacted via phone (575) 622-7600.

Contact Information

Primary practice address
115 E 19Th St Roswell NM 88201-5110
Phone: (575) 622-7600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD2024-1070 New Mexico
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME112364 Florida

Profile Details

NPI number 1871550780
LBN Legal business name Ottey, Deron C. K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Dec 6th, 2024 - about 2 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 1871550780 NPPES
New Mexico Other MD2024-1070 NM LICENSE

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