Otto, Jason L

Otto, Jason L is an individual health care provider with primary practice located at 1333 W 5Th St, Ste 112 , Sheridan WY 82801-2752. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Otto, Jason L can be contacted via phone (307) 675-2650.

Contact Information

Primary practice address
1333 W 5Th St, Ste 112 Sheridan WY 82801-2752
Phone: (307) 675-2650
Fax: (307) 675-2651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1558697177
LBN Legal business name Otto, Jason L
Credentials MPAS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2009
Last updated Apr 8th, 2021 - about 4 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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