Ottenbaker, David Thomas

Ottenbaker, David Thomas is an individual health care provider with primary practice located at 1445 Sheldon Rd Suite 201, Grand Haven MI 49417-2480. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ottenbaker, David Thomas can be contacted via phone (616) 846-8540.

Contact Information

Primary practice address
1445 Sheldon Rd Suite 201 Grand Haven MI 49417-2480
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301047511 Michigan

Profile Details

NPI number 1386648624
LBN Legal business name Ottenbaker, David Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jan 24th, 2012 - about 12 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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