Otis, Stephanie A

Otis, Stephanie A is an individual health care provider with primary practice located at 621 S New Ballas Rd Suite 63B, Saint Louis MO 63141-8232. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is her primary health care specialty. Otis, Stephanie A can be contacted via phone (314) 983-4700.

Contact Information

Primary practice address
621 S New Ballas Rd Suite 63B Saint Louis MO 63141-8232
Phone: (314) 983-4700
Fax: (314) 692-9862
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 106730 Missouri
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 106730 Missouri

Profile Details

NPI number 1841226487
LBN Legal business name Otis, Stephanie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Aug 28th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841226487 NPPES
Missouri Other 0900169 UNITED HEALTHCARE
Missouri Other 256445 UNITED HEALTHCARE
Missouri MEDICAID 207688508 UNITED HEALTHCARE
Missouri Other 83380V3223 UNITED HEALTHCARE
Missouri Other 200030003 UNITED HEALTHCARE
Missouri Other 4534390 UNITED HEALTHCARE
Missouri Other 1598506001 UNITED HEALTHCARE
Missouri Other 24774 UNITED HEALTHCARE

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