JD I used to have that line of thinking but parcels can and do get landlocked quite often thats why title insurance is so critical when buying land and insuring your access.. suits for prescriptive right a ways are expensive and time consuming..

I am a 45-year-old physician, who is currently looking to add other revenue streams. 

Would the existing 25 year old sewer lateral qualify for a prescriptive easement if there is no recorded easement found?

BUT our daughters Physician Assistant friend (just moved back escaped from NYC) needs a rental & loves the area so it maybe yet another addition to the portfolio.In retrospect our EXIT strategy has been to 'hand off' to others, (& their kids), properties that were becoming too much work.

There is also the thing of a physician loan where I wouldn't have to put a down payment on the house and secure a loan although I would want to try to aim for a fixed rate (or maybe variable since interest rates are potentially going to be cut in the future?) 

I'm a physician and so exposed to more liability than the average corporate job.

(for traveling nurses/visiting physicians), Yale students/visiting families (for short-term), adjunct professors, researchers, grad students etc. 

As a business owner and with my wife being a physician, we have found a shared passion for remodeling homes and unintentionally turning a profit with our past properties.

Someone in your situation might think to explore Physician's Loans since you're DMD which would qualify you for 0% down and no PMI so I'd see if that's a fit alongside with other lending products.

For it to be legal they need to have an ongoing relationship with a certified mental health professional, who has the correct certifications to write an ESA prescription, that you can call and verify the presence of a disability requiring a service animal as part of the ongoing treatment.