Otersen, Christine Marie
Otersen, Christine Marie is an individual health care provider with primary practice located at 3662 Cedarcrest Rd Ste 220 , Acworth GA 30101-8765. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Otersen, Christine Marie can be contacted via phone (470) 531-0512.Contact Information
Primary practice address
3662 Cedarcrest Rd Ste 220
Acworth GA 30101-8765
Phone: (470) 531-0512
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1265819965 |
|---|---|
| LBN Legal business name | Otersen, Christine Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2015 |
| Last updated | Jan 31st, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265819965 | NPPES |
| Georgia | MEDICAID | 1265819965 |
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