Otto, Ryan

Otto, Ryan is an individual health care provider with primary practice located at 1400 43Rd St , Kenosha WI 53140-2741. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Otto, Ryan can be contacted via phone (414) 651-2814.

Contact Information

Primary practice address
1400 43Rd St Kenosha WI 53140-2741
Phone: (414) 651-2814
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X IL Illinois

Profile Details

NPI number 1457004517
LBN Legal business name Otto, Ryan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2022
Last updated Aug 17th, 2022 - about 4 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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