Schueckler, Otto J

Schueckler, Otto J is an individual health care provider with primary practice located at 862 Meinecke Ave Suite 100, San Luis Obispo CA 93405-1721. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Schueckler, Otto J can be contacted via phone (805) 541-4600.

Contact Information

Primary practice address
862 Meinecke Ave Suite 100 San Luis Obispo CA 93405-1721
Phone: (805) 541-4600
Fax: (805) 541-1564
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A74150 California

Profile Details

NPI number 1710051792
LBN Legal business name Schueckler, Otto J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Feb 3rd, 2023 - about last year

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 1710051792 NPPES
California MEDICAID 036106889

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