Oetgen, William John
Oetgen, William John is an sole proprietor health care provider with primary practice located at 12070 Old Line Ctr Suite 100, Waldorf MD 20602-2513. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Oetgen, William John can be contacted via phone (301) 705-7870.Contact Information
Primary practice address
12070 Old Line Ctr Suite 100
Waldorf MD 20602-2513
Phone: (301) 705-7870
Fax: (301) 705-9622
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | D0016129 | Maryland |
Profile Details
| NPI number | 1073674925 |
|---|---|
| LBN Legal business name | Oetgen, William John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Apr 2nd, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073674925 | NPPES |
| Maryland | MEDICAID | 463921900 |
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