Otter, Suzanne
Otter, Suzanne is an individual health care provider with primary practice located at 404 Hunter St , Espanola NM 87532-2655. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Otter, Suzanne can be contacted via phone (505) 753-4123.Contact Information
Primary practice address
404 Hunter St
Espanola NM 87532-2655
Phone: (505) 753-4123
Fax: (505) 753-6947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1831455633 |
|---|---|
| LBN Legal business name | Otter, Suzanne |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2012 |
| Last updated | Apr 5th, 2012 - about 13 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 | 1831455633 | NPPES |
| New Mexico | MEDICAID | E7436 |
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