Bancroft, Austin

Bancroft, Austin is an individual health care provider with primary practice located at 1215 Duff Avenue , Ames IA 50010-3014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Bancroft, Austin can be contacted via phone (515) 239-4480.

Contact Information

Primary practice address
1215 Duff Avenue Ames IA 50010-3014
Fax: (515) 239-4716
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 02004205A Indiana
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 5101017595 Michigan
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 04972 Iowa

Profile Details

NPI number 1699937045
LBN Legal business name Bancroft, Austin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2008
Last updated Dec 11th, 2020 - about 5 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 1699937045 NPPES
Indiana Other 151020014 MEDICARE PTAN
Indiana MEDICAID 201162460 MEDICARE PTAN

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