Otto, Samuel
Otto, Samuel is an sole proprietor health care provider with primary practice located at 1049 N Edge Trl , Verona WI 53593-1942. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Otto, Samuel can be contacted via phone (608) 845-2100.Contact Information
Primary practice address
1049 N Edge Trl
Verona WI 53593-1942
Phone: (608) 845-2100
Fax: (608) 845-2101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 15776-24 | Wisconsin |
Profile Details
| NPI number | 1063143634 |
|---|---|
| LBN Legal business name | Otto, Samuel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2022 |
| Last updated | Jun 23rd, 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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