Individual
JON SCOTT ULOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3711 CASEY RD, NEWBURGH, IN 47630-8343
(812) 490-1122
(812) 490-1123
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 435-0977
(812) 450-6288
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01041620
IN
207Q00000X
Family Medicine Physician
51751
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100331740A
—
IN
Enumeration date
12/09/2005
Last updated
08/18/2020
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