Dr. William Samuel Otto
General Practice Physician
2705 Amesbury Rd
Winston Salem
, North Carolina 27103-6752
Dr. William Samuel Otto
General Practice Physician
2705 Amesbury Rd
Winston Salem
, North Carolina 27103-6752
(336) 765-3401
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. William Samuel Otto
- 2705 Amesbury Rd
- Winston Salem, NC
- Zip : 27103-6752
- Fax : (336) 765-3401
- Phone : (336) 705-0392
Second Address
- Dr. William Samuel Otto
- 2705 Amesbury Rd
- Winston Salem, NC
- Zip : 27103-6752
- Fax : (336) 765-3401
- Phone : (336) 705-0392
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Is Dr. William Samuel Otto a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | ME31610 | FL |
National Provider Identifier
| NPI | 1043470958 |
|---|---|
| Provider Name | Dr. William Samuel Otto |
| First Address | Winston Salem, NC 27103-6752 |
| Second Address | Winston Salem, NC 27103-6752 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2008 |
| Last Update Date | 25/06/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.