Otto, David R

Otto, David R is an individual health care provider with primary practice located at 8050 Township Line Rd , Indianapolis IN 46260-2478. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Otto, David R can be contacted via phone (317) 415-8500.

Contact Information

Primary practice address
8050 Township Line Rd Indianapolis IN 46260-2478
Phone: (317) 415-8500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 01065874A Indiana

Profile Details

NPI number 1992758346
LBN Legal business name Otto, David R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Apr 15th, 2019 - about 5 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 1992758346 NPPES
Indiana MEDICAID 200947180

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