Otero, Charles Daniel
Otero, Charles Daniel is an individual health care provider with primary practice located at 701 Arizona St Suite A, Clovis NM 88101-2110. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Otero, Charles Daniel can be contacted via phone (575) 742-3033.Contact Information
Primary practice address
701 Arizona St Suite A
Clovis NM 88101-2110
Phone: (575) 742-3033
Fax: (575) 742-1133
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 93-PA01 | New Mexico |
Profile Details
NPI number | 1255375903 |
---|---|
LBN Legal business name | Otero, Charles Daniel |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2006 |
Last updated | Dec 27th, 2016 - about 9 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 | 1255375903 | NPPES |
New Mexico | MEDICAID | 97903 |
Popular Providers
-
Dunn, Charla Marie
2100 N Mlk Blvd , Clovis NM 88101-9412 -
King, Stanley Thomas
205 Hospital Dr Ste A, Mc Kenzie TN 38201-1649 -
Laumbach, Matthew
2200 W 21St St , Clovis NM 88101-2011 -
Thayer, Michael A
5501 N Portland Ave , Oklahoma City OK 73112-2074 -
Jackson, Mark E
800 Fleming St , Hendersonville NC 28791-3528 -
Dunning, April D.
548 Lone Oak Rd , Paducah KY 42003-4538 -
Jordan, Dana L.
425 Hunton Rd , El Dorado KS 67042-3015 -
Nebelung, Don
609 Liberty St , Clay Center KS 67432-1564