Stitt, Otis Lawrence

Stitt, Otis Lawrence is an sole proprietor health care provider with primary practice located at 26005 Ridge Rd Ste 200 , Damascus MD 20872-1899. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Stitt, Otis Lawrence can be contacted via phone (301) 414-2300.

Contact Information

Primary practice address
26005 Ridge Rd Ste 200 Damascus MD 20872-1899
Fax: (301) 414-2306
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X D0065873 Maryland

Profile Details

NPI number 1245362706
LBN Legal business name Stitt, Otis Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2007
Last updated Oct 10th, 2018 - about 6 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 1245362706 NPPES
Maryland MEDICAID 060723100

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