Otto, Robert Jay
Otto, Robert Jay is an individual health care provider with primary practice located at 9485 Mentor Ave , Mentor OH 44060-4597. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Otto, Robert Jay can be contacted via phone (440) 255-1800.Contact Information
Primary practice address
9485 Mentor Ave
Mentor OH 44060-4597
Phone: (440) 255-1800
Fax: (440) 255-2088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | A-01292 | Ohio |
Profile Details
| NPI number | 1922036151 |
|---|---|
| LBN Legal business name | Otto, Robert Jay |
| Credentials | AUD. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1922036151 | NPPES |
| Ohio | MEDICAID | 2531077 |
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