Ortiz, Publio
Ortiz, Publio is an individual health care provider with primary practice located at 146 W Dale St Suite 102, Waterloo IA 50703-1901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Ortiz, Publio can be contacted via phone (319) 235-5050.Contact Information
Primary practice address
146 W Dale St Suite 102
Waterloo IA 50703-1901
Phone: (319) 235-5050
Fax: (319) 235-5107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 28288 | Iowa |
Profile Details
| NPI number | 1801873088 |
|---|---|
| LBN Legal business name | Ortiz, Publio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Feb 6th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801873088 | NPPES |
| Iowa | MEDICAID | 2077792 | |
| Iowa | MEDICAID | 7077792 | |
| Iowa | Other | P00079493 | |
| Iowa | MEDICAID | 4077792 |
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