Neustrom, Kirk W

Neustrom, Kirk W is an sole proprietor health care provider with primary practice located at 1228 8Th St Ste 105 , West Des Moines IA 50265-2624. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Neustrom, Kirk W can be contacted via phone (515) 221-9330.

Contact Information

Primary practice address
1228 8Th St Ste 105 West Des Moines IA 50265-2624
Phone: (515) 221-9330
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 446 Iowa
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X 446 Iowa
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 446 Iowa

Profile Details

NPI number 1821155714
LBN Legal business name Neustrom, Kirk W
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Dec 28th, 2010 - 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 1821155714 NPPES
Iowa MEDICAID 0083139

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