Otter, Olga Marie
Otter, Olga Marie is an sole proprietor health care provider with primary practice located at 1200 N Elm St , Greensboro NC 27401-1004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Otter, Olga Marie can be contacted via phone (336) 716-2255.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2006-00712 | North Carolina |
Profile Details
| NPI number | 1386620136 |
|---|---|
| LBN Legal business name | Otter, Olga Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Sep 12th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386620136 | NPPES |
| North Carolina | Other | 2023365B | MEDICARE - WFUHS |
| North Carolina | MEDICAID | 5910899 | MEDICARE - WFUHS |
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