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
Fax: (319) 235-5107
Website:

Health care specialties

SpecialtyCodeLicense #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 10 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 1801873088 NPPES
Iowa MEDICAID 2077792
Iowa MEDICAID 7077792
Iowa Other P00079493
Iowa MEDICAID 4077792

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