Ott, Michael Robert

Ott, Michael Robert is an individual health care provider with primary practice located at 4402 Shipyard Blvd , Wilmington NC 28403-6161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Ott, Michael Robert can be contacted via phone (910) 452-1400.

Contact Information

Primary practice address
4402 Shipyard Blvd Wilmington NC 28403-6161
Phone: (910) 452-1400
Fax: (910) 332-1032
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 200000925 North Carolina

Profile Details

NPI number 1083619472
LBN Legal business name Ott, Michael Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Nov 24th, 2009 - about 15 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 1083619472 NPPES
North Carolina Other 1266C BCBS
North Carolina MEDICAID Q0092A BCBS
North Carolina Other 930102882 BCBS
North Carolina Other 39-00201 BCBS
North Carolina Other 930104564 BCBS
North Carolina MEDICAID 891266C BCBS
North Carolina Other B4655 BCBS

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