Brostad, Jared David

Brostad, Jared David is an individual health care provider with primary practice located at 450 Laurel St , Des Moines IA 50314-3045. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Brostad, Jared David can be contacted via phone (515) 323-6485.

Contact Information

Primary practice address
450 Laurel St Des Moines IA 50314-3045
Phone: (515) 323-6485
Fax: (515) 323-6486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 03540 Iowa

Profile Details

NPI number 1831181890
LBN Legal business name Brostad, Jared David
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jun 27th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831181890 NPPES
Iowa Other I7658 MEDICARE GROUP

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