Otte, Jeffrey William

Otte, Jeffrey William is an individual health care provider with primary practice located at 5353 Gamble Drive Suite 202 Team Spine, St. Louis Park MN 55416. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Otte, Jeffrey William can be contacted via phone (952) 697-5095.

Contact Information

Primary practice address
5353 Gamble Drive Suite 202 Team Spine St. Louis Park MN 55416
Phone: (952) 697-5095
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1609143098
LBN Legal business name Otte, Jeffrey William
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2011
Last updated Nov 29th, 2011 - about 13 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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