Ott, Colin J
Ott, Colin J is an individual health care provider with primary practice located at 2600 Stewart Ave Ste 266, Wausau WI 54401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Ott, Colin J can be contacted via phone (715) 845-8841.Contact Information
Primary practice address
2600 Stewart Ave Ste 266
Wausau WI 54401
Phone: (715) 845-8841
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 5001643 | Wisconsin |
Profile Details
| NPI number | 1770684466 |
|---|---|
| LBN Legal business name | Ott, Colin J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1770684466 | NPPES |
| Wisconsin | MEDICAID | 33558000 |
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