Roers Ott, Cheryl Marie
Roers Ott, Cheryl Marie is an sole proprietor health care provider with primary practice located at 1405 Milwaukee Dr , New Holstein WI 53061-1430. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Roers Ott, Cheryl Marie can be contacted via phone (920) 898-5531.Contact Information
Primary practice address
1405 Milwaukee Dr
New Holstein WI 53061-1430
Phone: (920) 898-5531
Fax: (920) 898-1581
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2515 | Wisconsin |
Profile Details
| NPI number | 1780662577 |
|---|---|
| LBN Legal business name | Roers Ott, Cheryl Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Jun 7th, 2013 - about 11 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 | 1780662577 | NPPES |
| Wisconsin | MEDICAID | 38587700 |
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