Ott, Diane Marie
Ott, Diane Marie is an individual health care provider with primary practice located at 265 S National Ave , Fond Du Lac WI 54935-5334. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Ott, Diane Marie can be contacted via phone (920) 922-7342.Contact Information
Primary practice address
265 S National Ave
Fond Du Lac WI 54935-5334
Phone: (920) 922-7342
Fax: (920) 922-4737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 780-154 | Wisconsin |
Profile Details
| NPI number | 1386865889 |
|---|---|
| LBN Legal business name | Ott, Diane Marie |
| Credentials | MS,CCC SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2007 |
| Last updated | Oct 1st, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386865889 | NPPES |
| Wisconsin | MEDICAID | 42655300 |
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