Otto, Patricia M

Otto, Patricia M is an sole proprietor health care provider with primary practice located at 470 Birchwood Ave Suite A, Bellingham WA 98225-1781. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Otto, Patricia M can be contacted via phone (360) 734-1960.

Contact Information

Primary practice address
470 Birchwood Ave Suite A Bellingham WA 98225-1781
Fax: (360) 647-8720
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00016861025209 Washington

Profile Details

NPI number 1033187851
LBN Legal business name Otto, Patricia M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2006
Last updated Jul 11th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033187851 NPPES
Washington MEDICAID 1807007

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