Ottmann, Shane E

Ottmann, Shane E is an individual health care provider with primary practice located at 205 South Front Street 8Th Floor Bma, Harrisburg PA 17104-1619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as his primary health care specialty. Ottmann, Shane E can be contacted via phone (717) 231-8700.

Contact Information

Primary practice address
205 South Front Street 8Th Floor Bma Harrisburg PA 17104-1619
Phone: (717) 231-8700
Fax: (717) 231-8753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X MD432969 Pennsylvania

Profile Details

NPI number 1629006374
LBN Legal business name Ottmann, Shane E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Dec 18th, 2017 - about 7 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 1629006374 NPPES
Pennsylvania MEDICAID 102632009

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