Otto, Todd W

Otto, Todd W is an individual health care provider with primary practice located at 801 Medical Dr Suite A, Lima OH 45804-4099. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Otto, Todd W can be contacted via phone (419) 222-6622.

Contact Information

Primary practice address
801 Medical Dr Suite A Lima OH 45804-4099
Phone: (419) 222-6622
Fax: (419) 224-0015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50001718 Ohio

Profile Details

NPI number 1891763678
LBN Legal business name Otto, Todd W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Apr 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891763678 NPPES
Other 000000491275 ANTHEM

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