Otteson, Todd

Otteson, Todd is an individual health care provider with primary practice located at 11100 Euclid Ave Lakeside, Room 4527, Cleveland OH 44106-1716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Otteson, Todd can be contacted via phone (216) 844-3002.

Contact Information

Primary practice address
11100 Euclid Ave Lakeside, Room 4527 Cleveland OH 44106-1716
Phone: (216) 844-3002
Fax: (216) 201-4667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD424615 Pennsylvania
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 35.120989 Ohio

Profile Details

NPI number 1750336582
LBN Legal business name Otteson, Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jul 2nd, 2013 - 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 1750336582 NPPES
Ohio Other 35.120989 LICENSE
Ohio MEDICAID 2658799 LICENSE

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