Otto, Matthew Ira
Otto, Matthew Ira is an sole proprietor health care provider with primary practice located at 10774 Hickory Ridge Rd , Columbia MD 21044-3646. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Otto, Matthew Ira can be contacted via phone (410) 997-7288.Contact Information
Primary practice address
10774 Hickory Ridge Rd
Columbia MD 21044-3646
Phone: (410) 997-7288
Fax: (410) 997-2880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC4279 | Maryland |
Profile Details
| NPI number | 1598035701 |
|---|---|
| LBN Legal business name | Otto, Matthew Ira |
| Credentials | L.C.P.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2012 |
| Last updated | Jan 4th, 2012 - about 12 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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