Ott, Roger Arthur

Ott, Roger Arthur is an individual health care provider with primary practice located at 1000 Langworthy St , Dubuque IA 52001-7313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ott, Roger Arthur can be contacted via phone (563) 584-3450.

Contact Information

Primary practice address
1000 Langworthy St Dubuque IA 52001-7313
Fax: (563) 584-3171
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 26102 Iowa

Profile Details

NPI number 1316991672
LBN Legal business name Ott, Roger Arthur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Nov 25th, 2009 - about 16 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 1316991672 NPPES
Iowa MEDICAID 0043265

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