Ottomeyer, Richard Vincent

Ottomeyer, Richard Vincent is an individual health care provider with primary practice located at 168 Lake St S Ste C , Forest Lake MN 55025-4401. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Orthopedic. Chiropractic Providers / Orthopedic is his primary health care specialty. Ottomeyer, Richard Vincent can be contacted via phone (651) 226-8338.

Contact Information

Primary practice address
168 Lake St S Ste C Forest Lake MN 55025-4401
Phone: (651) 226-8338
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1818 Minnesota
Chiropractic Providers / Orthopedic 111NX0800X 1818 Minnesota

Profile Details

NPI number 1598752859
LBN Legal business name Ottomeyer, Richard Vincent
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Feb 6th, 2020 - about 6 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 1598752859 NPPES
Minnesota MEDICAID 513527000

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