Otto, Todd W
Otto, Todd W is an individual health care provider with primary practice located at 801 Medical Dr Suite A, Lima OH 45804-4099. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Otto, Todd W can be contacted via phone (419) 222-6622.Contact Information
Primary practice address
801 Medical Dr Suite A
Lima OH 45804-4099
Phone: (419) 222-6622
Fax: (419) 224-0015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 50001718 | Ohio |
Profile Details
| NPI number | 1891763678 |
|---|---|
| LBN Legal business name | Otto, Todd W |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Apr 6th, 2010 - about 16 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 | 1891763678 | NPPES |
| Other | 000000491275 | ANTHEM |
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