Mr Robert Otten Jr, DC is a
Chiropractor based in Windham, New York. Mr Robert Otten Jr is licensed to practice in New York (license number X005393-1) and his current practice location is
5414 Main St, Windham, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 734-6176.
NPI number for Mr Robert Otten Jr is 1912958372 and his current mailing address is Po Box 718, Windham, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912958372.
Healthcare Provider's Profile
| Full Name | Mr Robert Otten Jr |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 5414 Main St, Windham, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1912958372
- Provider Enumeration Date: 05/12/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Robert Otten Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912958372 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | X005393-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Robert Otten Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Robert Otten Jr, DC
Po Box 718,
Windham, NY 12496-0718
Ph: (518) 734-6176 | Mr Robert Otten Jr, DC
5414 Main St,
Windham, NY 12496-5802
Ph: (518) 734-6176 |
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