Nystrom, David
Nystrom, David is an individual health care provider with primary practice located at 405 S Clark St Suite # 230, Carroll IA 51401-3065. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nystrom, David can be contacted via phone (712) 792-2222.Contact Information
Primary practice address
405 S Clark St Suite # 230
Carroll IA 51401-3065
Phone: (712) 792-2222
Fax: (712) 792-3875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 3647 | Iowa |
Profile Details
| NPI number | 1356315311 |
|---|---|
| LBN Legal business name | Nystrom, David |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Oct 9th, 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 | 1356315311 | NPPES |
| Iowa | MEDICAID | 0469395 |
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