Kamstra, Bradley Dean
Kamstra, Bradley Dean is an sole proprietor health care provider with primary practice located at 2121 Hegg Dr , Rock Valley IA 51247-1445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kamstra, Bradley Dean can be contacted via phone (712) 476-8100.Contact Information
Primary practice address
2121 Hegg Dr
Rock Valley IA 51247-1445
Phone: (712) 476-8100
Fax: (712) 476-8190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 3093 | Iowa |
Profile Details
| NPI number | 1538151287 |
|---|---|
| LBN Legal business name | Kamstra, Bradley Dean |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2005 |
| Last updated | May 23rd, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538151287 | NPPES |
| Iowa | MEDICAID | 1163311 |
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