National Provider Identifier Database

JEREMIAH OTTESON, MOTR/L – NPI #1013319607
Hand


Contact Information

JEREMIAH OTTESON, MOTR/L
2301 25TH ST S
FARGO, ND58103-6104
Phone: 701-417-6222
Fax:
Website:
Specialty Taxonomy Code
* Hand 225XH1200X

* Indicates primary specialty

NPI Profile & details for JEREMIAH OTTESON

NPI Number 1013319607
Credentials MOTR/L
Entity Individual
Enumeration date 09/25/2014
Last updated 09/25/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • ND License #: 979
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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