Nystrom, Stephen

Nystrom, Stephen is an individual health care provider with primary practice located at 855 N Westhaven Dr , Oshkosh WI 54904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Nystrom, Stephen can be contacted via phone (920) 303-8700.

Contact Information

Primary practice address
855 N Westhaven Dr Oshkosh WI 54904
Phone: (920) 303-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X OS12697 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 5101017624 Michigan
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 68888-21 Wisconsin

Profile Details

NPI number 1750541942
LBN Legal business name Nystrom, Stephen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2008
Last updated Mar 27th, 2024 - about last year

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 1750541942 NPPES
Florida MEDICAID 013076600
Florida Other 14V7E
Florida MEDICAID 100075914
Florida Other P01408649

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