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Contact Information

CENTRAL OTOLOGIC LTD
123 HOSPITAL DRIVE
STE 106
WATERTOWN, WI53098
 Phone: 920-261-0226
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for CENTRAL OTOLOGIC LTD · (Female)

NPI Number 1932177862
Status Active
Credentials
Entity Individual
Enumeration date 03/08/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI Medicaid 32684000
  • WI Other 502461 DEAN HEALTH
  • WI Other 39131700ST WPS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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