Otte, Todd

Otte, Todd is an individual health care provider with primary practice located at 2525 Glenn Hendren Dr , Liberty MO 64068-9625. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Otte, Todd can be contacted via phone (816) 781-7200.

Contact Information

Primary practice address
2525 Glenn Hendren Dr Liberty MO 64068-9625
Phone: (816) 781-7200
Fax: (816) 792-7196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 104599 Missouri
Nursing Service Providers / Registered Nurse 163W00000X 104599 Missouri

Profile Details

NPI number 1417916040
LBN Legal business name Otte, Todd
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Aug 21st, 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 1417916040 NPPES
Missouri MEDICAID 912680303

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