Ottersbach, Gary M

Ottersbach, Gary M is an individual health care provider with primary practice located at 2521 E 15Th St , Casper WY 82609-4126. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Ottersbach, Gary M can be contacted via phone (307) 472-2293.

Contact Information

Primary practice address
2521 E 15Th St Casper WY 82609-4126
Phone: (307) 472-2293
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1001 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 115 Wyoming

Profile Details

NPI number 1699861732
LBN Legal business name Ottersbach, Gary M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Mar 31st, 2010 - about 15 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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