Oditt, Bryan Keith

Oditt, Bryan Keith is an individual health care provider with primary practice located at 15 Mohegan Ave , New London CT 06320-8100. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Oditt, Bryan Keith can be contacted via phone (860) 444-8207.

Contact Information

Primary practice address
15 Mohegan Ave New London CT 06320-8100
Phone: (860) 444-8207
Fax: (860) 444-8413
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001247 Connecticut

Profile Details

NPI number 1023096237
LBN Legal business name Oditt, Bryan Keith
Credentials APA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Jul 8th, 2007 - about 17 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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