Otto, Nicole
Otto, Nicole is an sole proprietor health care provider with primary practice located at 3535 Market St Suite 100, Philadelphia PA 19104-3309. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Otto, Nicole can be contacted via phone (215) 746-3535.Contact Information
Primary practice address
3535 Market St Suite 100
Philadelphia PA 19104-3309
Phone: (215) 746-3535
Fax: (215) 746-1032
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | MD425787 | Pennsylvania |
Profile Details
NPI number | 1306915335 |
---|---|
LBN Legal business name | Otto, Nicole |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 6th, 2006 |
Last updated | Sep 9th, 2009 - about 16 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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