Othersen, Victoria Ann

Othersen, Victoria Ann is an individual health care provider with primary practice located at 362 Meridian Parke Ln Ste A , Greenwood IN 46142-9425. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Othersen, Victoria Ann can be contacted via phone (317) 528-8760.

Contact Information

Primary practice address
362 Meridian Parke Ln Ste A Greenwood IN 46142-9425
Phone: (317) 528-8760
Fax: (317) 528-8761
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34-007433 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02004084A Indiana

Profile Details

NPI number 1629075429
LBN Legal business name Othersen, Victoria Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Apr 11th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1629075429 NPPES
Indiana Other 000000522568 ANTHEM
Indiana MEDICAID 200250180A ANTHEM

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