Ottinger, Lance Keith

Ottinger, Lance Keith is an individual health care provider with primary practice located at 2525 W University Ave Suite 403, Muncie IN 47303-3421. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Ottinger, Lance Keith can be contacted via phone (765) 289-6381.

Contact Information

Primary practice address
2525 W University Ave Suite 403 Muncie IN 47303-3421
Phone: (765) 289-6381
Fax: (765) 289-3883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71001355A Indiana

Profile Details

NPI number 1306898747
LBN Legal business name Ottinger, Lance Keith
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Oct 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306898747 NPPES
Indiana Other P00968563 RR MEDICARE
Indiana MEDICAID 200393180 RR MEDICARE

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