Ottemiller, Susan J

Ottemiller, Susan J is an individual health care provider with primary practice located at 825 Eastlake Ave E , Seattle WA 98109. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Ottemiller, Susan J can be contacted via phone (206) 520-5000.

Contact Information

Primary practice address
825 Eastlake Ave E Seattle WA 98109
Phone: (206) 520-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60848345 Washington
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP60848345 Washington

Profile Details

NPI number 1710964200
LBN Legal business name Ottemiller, Susan J
Credentials ARNP, DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Dec 7th, 2018 - about 6 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 1710964200 NPPES
Oregon Other CD8723 RR MEDICARE GROUP NUMBER
Oregon Other P00085410 RR MEDICARE GROUP NUMBER
Oregon Other R0000WFBTV RR MEDICARE GROUP NUMBER
Oregon Other 1407812365 RR MEDICARE GROUP NUMBER
Oregon Other 161133 RR MEDICARE GROUP NUMBER
Oregon MEDICAID 500618060 RR MEDICARE GROUP NUMBER
Oregon Other 0577260001 RR MEDICARE GROUP NUMBER
Oregon MEDICAID 1710964200 RR MEDICARE GROUP NUMBER

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