Otteni, Jack F

Otteni, Jack F is an individual health care provider with primary practice located at 70 Medical Center Cir Suite 110, Fishersville VA 22939-2273. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Otteni, Jack F can be contacted via phone (540) 332-5850.

Contact Information

Primary practice address
70 Medical Center Cir Suite 110 Fishersville VA 22939-2273
Phone: (540) 332-5850
Fax: (540) 332-5851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101234631 Virginia

Profile Details

NPI number 1205885597
LBN Legal business name Otteni, Jack F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Nov 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205885597 NPPES
Virginia MEDICAID 006410031

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