Otto, Scott C

Otto, Scott C is an individual health care provider with primary practice located at 11700 W 2Nd Pl Ste 210 , Lakewood CO 80228-1716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Otto, Scott C can be contacted via phone (720) 321-8080.

Contact Information

Primary practice address
11700 W 2Nd Pl Ste 210 Lakewood CO 80228-1716
Phone: (720) 321-8080
Fax: (720) 321-8081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036109065 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X DR.0066919 Colorado

Profile Details

NPI number 1497749162
LBN Legal business name Otto, Scott C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jan 14th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497749162 NPPES
Illinois MEDICAID 036109065
Illinois MEDICAID 9000199569

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