Otto, Steven M

Otto, Steven M is an individual health care provider with primary practice located at 3801 S National Ave Suite 900, Springfield MO 65807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Otto, Steven M can be contacted via phone (417) 875-3000.

Contact Information

Primary practice address
3801 S National Ave Suite 900 Springfield MO 65807
Phone: (417) 875-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 110887 Missouri

Profile Details

NPI number 1154364289
LBN Legal business name Otto, Steven M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 24th, 2018 - about 6 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 1154364289 NPPES
Other 105174 BLUE CROSS/BLUE SHIELD
MEDICAID 208645101 BLUE CROSS/BLUE SHIELD

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