Ottomeyer, Richard Vincent
Ottomeyer, Richard Vincent is an individual health care provider with primary practice located at 168 Lake St S Ste C , Forest Lake MN 55025-4401. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Orthopedic. Chiropractic Providers / Orthopedic is his primary health care specialty. Ottomeyer, Richard Vincent can be contacted via phone (651) 226-8338.Contact Information
Primary practice address
168 Lake St S Ste C
Forest Lake MN 55025-4401
Phone: (651) 226-8338
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 1818 | Minnesota |
Chiropractic Providers / Orthopedic | 111NX0800X | 1818 | Minnesota |
Profile Details
NPI number | 1598752859 |
---|---|
LBN Legal business name | Ottomeyer, Richard Vincent |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 3rd, 2005 |
Last updated | Feb 6th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598752859 | NPPES |
Minnesota | MEDICAID | 513527000 |
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