Ott, Mary A

Ott, Mary A is an individual health care provider with primary practice located at 1701 N Senate Ave Dept Of Pediatrics, Indianapolis IN 46202-5306. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Ott, Mary A can be contacted via phone (317) 962-8067.

Contact Information

Primary practice address
1701 N Senate Ave Dept Of Pediatrics Indianapolis IN 46202-5306
Phone: (317) 962-8067
Fax: (317) 962-3796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 01058102 Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01058102 Indiana

Profile Details

NPI number 1386751881
LBN Legal business name Ott, Mary A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Dec 22nd, 2020 - about 5 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 1386751881 NPPES
Indiana MEDICAID 200454610

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