Lotman, Anton Erikovich

Lotman, Anton Erikovich is an sole proprietor health care provider with primary practice located at 1900 Woodland Drive , Coos Bay OR 97420-0000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Lotman, Anton Erikovich can be contacted via phone (541) 267-5151.

Contact Information

Primary practice address
1900 Woodland Drive Coos Bay OR 97420-0000
Phone: (541) 267-5151
Fax: (541) 266-4553
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 26134 Oregon

Profile Details

NPI number 1730173691
LBN Legal business name Lotman, Anton Erikovich
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2005
Last updated Mar 23rd, 2010 - about 16 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 1730173691 NPPES
Oregon Other 930802343 TAX ID#
Oregon Other 930635514 TAX ID#
Oregon MEDICAID 026822 TAX ID#
Oregon Other R0000WFBTV TAX ID#
Oregon Other 1407812365 TAX ID#

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