Stadsvold, Chad Allen

Stadsvold, Chad Allen is an individual health care provider with primary practice located at 2800 Pierce St Suite 110, Sioux City IA 51104-3755. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Stadsvold, Chad Allen can be contacted via phone (712) 279-3754.

Contact Information

Primary practice address
2800 Pierce St Suite 110 Sioux City IA 51104-3755
Phone: (712) 279-3754
Fax: (712) 279-3644
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R8139 Iowa
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4175 Iowa

Profile Details

NPI number 1932304060
LBN Legal business name Stadsvold, Chad Allen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2007
Last updated Jul 27th, 2015 - about 9 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 1932304060 NPPES
Iowa MEDICAID 00606

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