Otto, Andrew T
Otto, Andrew T is an individual health care provider with primary practice located at 200 Patewood Dr Ste C100 , Greenville SC 29615-6322. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Otto, Andrew T can be contacted via phone (864) 454-7422.Contact Information
Primary practice address
200 Patewood Dr Ste C100
Greenville SC 29615-6322
Phone: (864) 454-7422
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 843 | South Carolina |
Profile Details
| NPI number | 1093726648 |
|---|---|
| LBN Legal business name | Otto, Andrew T |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Apr 20th, 2017 - about 8 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 | 1093726648 | NPPES |
| South Carolina | MEDICAID | 0313PA |
Popular Providers
-
Malena, Kelly M
200 Patewood Dr Suite C300, Greenville SC 29615-3593 -
Turner, Keith Patrick
225 Adley Way , Greenville SC 29607-6511 -
Cox, Marcus T
950 W Faris Rd , Greenville SC 29605-4255 -
Grinnell, Melissa Ruth
890 W Faris Rd Ste 310 , Greenville SC 29605-4281 -
Urban, Julia Irene
1210 W Faris Rd , Greenville SC 29605-4444 -
Glass, Anthony Todd
890 W Faris Rd Suite 550, Greenville SC 29605-4253 -
Williams, Jesse J.
701 Grove Rd , Greenville SC 29605-5611 -
Dobson, Katherine Mckelvey
200 Patewood Dr Ste C100 , Greenville SC 29615-6322