Otto, Sarah Grace

Otto, Sarah Grace is an individual health care provider with primary practice located at 540 Officenter Pl Suite 240, Gahanna OH 43230-5317. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Otto, Sarah Grace can be contacted via phone (614) 293-1707.

Contact Information

Primary practice address
540 Officenter Pl Suite 240 Gahanna OH 43230-5317
Phone: (614) 293-1707
Fax: (614) 293-1716
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X COA09003NP Ohio

Profile Details

NPI number 1124119607
LBN Legal business name Otto, Sarah Grace
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jan 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124119607 NPPES
Ohio MEDICAID 3002360

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