Ott, Eugene E

Ott, Eugene E is an individual health care provider with primary practice located at 611 Sherman Ave E , Fort Atkinson WI 53538-1960. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ott, Eugene E can be contacted via phone (920) 568-5000.

Contact Information

Primary practice address
611 Sherman Ave E Fort Atkinson WI 53538-1960
Phone: (920) 568-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 293-023 Wisconsin

Profile Details

NPI number 1811000243
LBN Legal business name Ott, Eugene E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Aug 13th, 2009 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811000243 NPPES
Wisconsin MEDICAID 42945400

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