Brown, Otto William
Brown, Otto William is an individual health care provider with primary practice located at 31700 Telegraph Rd Suite 140, Bingham Farms MI 48025-3407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Brown, Otto William can be contacted via phone (248) 433-0881.Contact Information
Primary practice address
31700 Telegraph Rd Suite 140
Bingham Farms MI 48025-3407
Phone: (248) 433-0881
Fax: (248) 433-1628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 4301043496 | Michigan |
Profile Details
| NPI number | 1841308103 |
|---|---|
| LBN Legal business name | Brown, Otto William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2006 |
| Last updated | Apr 10th, 2024 - about 5 months 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 | 1841308103 | NPPES |
| Michigan | Other | 020002993 | MEDICARE RR |
| Michigan | MEDICAID | 2115358 | MEDICARE RR |
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