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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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 1558333179 NPPES
Minnesota MEDICAID 767689100

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