Ott, Judson William

Ott, Judson William is an individual health care provider with primary practice located at 1500 Associates Dr , Dubuque IA 52002-2201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Ott, Judson William can be contacted via phone (563) 584-4460.

Contact Information

Primary practice address
1500 Associates Dr Dubuque IA 52002-2201
Phone: (563) 584-4460
Fax: (563) 584-4395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 29478 Iowa
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036-087377 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 28791 Wisconsin

Profile Details

NPI number 1871545897
LBN Legal business name Ott, Judson William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jan 12th, 2011 - about 13 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 1871545897 NPPES
Iowa MEDICAID 0099085

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