Otey, Chaka
Otey, Chaka is an individual health care provider with primary practice located at 8032 Airport Rd , Quinton VA 23141. She recently has only one registered license in Eye and Vision Services Providers / Contact Lens, which is considered as her primary health care specialty. Otey, Chaka can be contacted via phone (804) 932-3992.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Contact Lens | 156FC0800X |
Profile Details
| NPI number | 1770906430 |
|---|---|
| LBN Legal business name | Otey, Chaka |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2014 |
| Last updated | Jan 30th, 2014 - about 10 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 | 1770906430 | NPPES |
| Virginia | MEDICAID | 127006018017 |
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