Henstrom, Douglas K
Henstrom, Douglas K is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1007. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck. Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck is his primary health care specialty. Henstrom, Douglas K can be contacted via phone (319) 356-3600.Contact Information
Primary practice address
200 Hawkins Dr
Iowa City IA 52242-1007
Phone: (319) 356-3600
Fax: (319) 356-4547
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 47669 | Minnesota |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 39672 | Iowa |
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | 39672 | Iowa |
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | 39672 | Iowa |
| Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck | 207YX0007X | 10222796-1205 | Utah |
Profile Details
| NPI number | 1558333179 |
|---|---|
| LBN Legal business name | Henstrom, Douglas K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Apr 11th, 2017 - about 8 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 | 1558333179 | NPPES |
| Minnesota | MEDICAID | 767689100 |
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