Ottinger, C. Joe
Ottinger, C. Joe is an individual health care provider with primary practice located at 7956 W Jefferson Blvd , Fort Wayne IN 46804-4140. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Ottinger, C. Joe can be contacted via phone (260) 436-2416.Contact Information
Primary practice address
7956 W Jefferson Blvd
Fort Wayne IN 46804-4140
Phone: (260) 436-2416
Fax: (260) 436-9662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 01023383A | Indiana |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 01023383A | Indiana |
Profile Details
| NPI number | 1952308140 |
|---|---|
| LBN Legal business name | Ottinger, C. Joe |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Nov 10th, 2014 - about 10 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 | 1952308140 | NPPES |
| Indiana | MEDICAID | 100096120 | |
| Indiana | MEDICAID | 2717847 | |
| Indiana | Other | 130005977 | |
| Indiana | MEDICAID | 0295872 |
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