Engelman, Otis Edward

Engelman, Otis Edward is an individual health care provider with primary practice located at 1101 Old Trolley Rd Ste. 100, Summerville SC 29485-5293. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Engelman, Otis Edward can be contacted via phone (843) 875-0400.

Contact Information

Primary practice address
1101 Old Trolley Rd Ste. 100 Summerville SC 29485-5293
Phone: (843) 875-0400
Fax: (843) 871-6700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 8516 South Carolina

Profile Details

NPI number 1730145509
LBN Legal business name Engelman, Otis Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Jul 21st, 2022 - about 4 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 1730145509 NPPES
South Carolina MEDICAID 85160
South Carolina Other 410013918

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