Otto, Michael

Otto, Michael is an individual health care provider with primary practice located at 730 W Market St Ste 2K , Lima OH 45801-4602. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Otto, Michael can be contacted via phone (419) 996-4011.

Contact Information

Primary practice address
730 W Market St Ste 2K Lima OH 45801-4602
Phone: (419) 996-4011
Fax: (419) 996-4012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50001888 Ohio

Profile Details

NPI number 1639168891
LBN Legal business name Otto, Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Nov 5th, 2020 - about 6 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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