Otto, Suzanne K
Otto, Suzanne K is an individual health care provider with primary practice located at 4536 22Nd Ave , Kenosha WI 53140-5917. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Otto, Suzanne K can be contacted via phone (262) 656-0044.Contact Information
Primary practice address
4536 22Nd Ave
Kenosha WI 53140-5917
Phone: (262) 656-0044
Fax: (262) 653-2218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 020.012262 | Illinois |
| Dental Providers / Dental Hygienist | 124Q00000X | 10133-16 | Wisconsin |
Profile Details
| NPI number | 1578894820 |
|---|---|
| LBN Legal business name | Otto, Suzanne K |
| Credentials | DENTAL HYGENIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2010 |
| Last updated | Jan 27th, 2010 - about 15 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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