Ottulich, Diana M

Ottulich, Diana M is an individual health care provider with primary practice located at 822 Clark St , Pearl Harbor HI 96860-4652. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Other Service Providers / Military Health Care Provider. Other Service Providers / Military Health Care Provider is her primary health care specialty. Ottulich, Diana M can be contacted via phone (757) 836-5929.

Contact Information

Primary practice address
822 Clark St Pearl Harbor HI 96860-4652
Phone: (757) 836-5929
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0101280042 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Other Service Providers / Military Health Care Provider 171000000X 0101280042 Virginia

Profile Details

NPI number 1629715552
LBN Legal business name Ottulich, Diana M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2022
Last updated May 28th, 2024 - about 2 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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