Ottoson, Graham L
Ottoson, Graham L is an individual health care provider with primary practice located at 620 W Seneca St , Ithaca NY 14850-3326. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Ottoson, Graham L can be contacted via phone (607) 273-1513.Contact Information
Primary practice address
620 W Seneca St
Ithaca NY 14850-3326
Phone: (607) 273-1513
Fax: (607) 273-8776
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | F0002741 | New York |
Profile Details
| NPI number | 1265509699 |
|---|---|
| LBN Legal business name | Ottoson, Graham L |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jun 25th, 2014 - about 12 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 | 1265509699 | NPPES |
| New York | MEDICAID | 01380556 |
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