Otto, Richard
Otto, Richard is an individual health care provider with primary practice located at 3003 W Good Hope Rd , Milwaukee WI 53209-2042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Otto, Richard can be contacted via phone (414) 352-3100.Contact Information
Primary practice address
3003 W Good Hope Rd
Milwaukee WI 53209-2042
Phone: (414) 352-3100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 079294 | Georgia |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 75503 | Wisconsin |
Profile Details
| NPI number | 1487913513 |
|---|---|
| LBN Legal business name | Otto, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2012 |
| Last updated | Jul 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487913513 | NPPES |
| Wisconsin | MEDICAID | 100176271 |
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