Otworth, James R

Otworth, James R is an individual health care provider with primary practice located at 1805 27Th St , Portsmouth OH 45662-2686. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Otworth, James R can be contacted via phone (740) 356-8231.

Contact Information

Primary practice address
1805 27Th St Portsmouth OH 45662-2686
Fax: (710) 356-3686
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 21422 Mississippi
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 34004394 Ohio

Profile Details

NPI number 1487615209
LBN Legal business name Otworth, James R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Dec 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487615209 NPPES
Mississippi MEDICAID 08825018
Mississippi MEDICAID 0843985
Mississippi MEDICAID 140216

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