James Paul Otteson in Owatonna - Forensic

James Paul Otteson - NPI 1457491110

James Paul Otteson is a Forensic in Owatonna, Minnesota. James Paul Otteson practices all healthcare services and medical treatments related to Forensic. The NPI Number for James Paul Otteson is 1457491110. The last update date is 2007-10-23.

James Paul Otteson's current location address is 209 E Mill St, Owatonna, Minnesota. You can contact this provider via phone number 5074460002 and fax number 5074518003. The mailing address for James Paul Otteson is 209 E Mill St, Owatonna, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name James Paul Otteson
Address 209 E Mill St, Owatonna, Minnesota
Phone Number 5074460002
Fax Number 5074518003
Sole Proprietor N
Credentials PH.D., LP

NPI Number Detail

NPI Number 1457491110
Provider Enumeration Date 2007-02-08
Last Updated Date 2007-10-23

Provider Mailing Address Detail

Address 209 E Mill St
City Owatonna
State Minnesota (MN)
Post Code 550603008
Phone Number 5074460002
Fax Number 5074518003

Provider's Primary Taxonomy Detail

Speciality Forensic
Taxonomy 103Tf0200X
Licence No LP4284
Definition:
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
048L8OT MN BCBS
LP4284 MN LICENSED PSYCHOLOGIST

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FAQs about James Paul Otteson

What is the unique 10-digit identifier code assigned to James Paul Otteson by the Centers for Medicare & Medicaid Services?

The James Paul Otteson has been issued the NPI (National Provider Identifier) 1457491110 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where James Paul Otteson's facilities are situated?

The facilities of James Paul Otteson are physically located at the following address: 209 E Mill St, Owatonna, MN, 550603008.

What is James Paul Otteson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for James Paul Otteson is Forensic, and the taxonomy code that classifies this field of practice is 103Tf0200X.

On what date did James Paul Otteson receive its 1457491110 assignment from the Centers for Medicare & Medicaid Services?

The James Paul Otteson was assigned its 1457491110 on 2007-02-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding James Paul Otteson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to James Paul Otteson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-23.

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