Ott, Loren Glen

Ott, Loren Glen is an individual health care provider with primary practice located at 1600 Esplanade Suite C, Chico CA 95926-3369. 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. Ott, Loren Glen can be contacted via phone (530) 897-4500.

Contact Information

Primary practice address
1600 Esplanade Suite C Chico CA 95926-3369
Phone: (530) 897-4500
Fax: (530) 897-4544
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16797 California

Profile Details

NPI number 1316904428
LBN Legal business name Ott, Loren Glen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Dec 14th, 2007 - about 18 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 1316904428 NPPES
California Other ZZZ13431Z MEDICARE PTAN
California MEDICAID 00PA16797 MEDICARE PTAN
California Other ZZZ52846Z MEDICARE PTAN

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