Ottolini, Mary C.

Ottolini, Mary C. is an sole proprietor health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3134. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Ottolini, Mary C. can be contacted via phone (207) 662-6711.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102-3134
Phone: (207) 662-6711
Fax: (207) 662-6063
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD22944 Maine
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD19738 District of Columbia

Profile Details

NPI number 1073602884
LBN Legal business name Ottolini, Mary C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2006
Last updated May 21st, 2019 - about 5 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 1073602884 NPPES
District of Columbia MEDICAID 024354500
District of Columbia MEDICAID 1822411100
District of Columbia MEDICAID 6725961
District of Columbia Other 0061

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