Staudte, Timothy

Staudte, Timothy is an individual health care provider with primary practice located at 5409 Avenue O , Fort Madison IA 52627-9601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Staudte, Timothy can be contacted via phone (319) 376-2134.

Contact Information

Primary practice address
5409 Avenue O Fort Madison IA 52627-9601
Phone: (319) 376-2134
Fax: (319) 376-2188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 3565 Iowa

Profile Details

NPI number 1114990660
LBN Legal business name Staudte, Timothy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Aug 1st, 2007 - about 17 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 1114990660 NPPES
Iowa MEDICAID 0431908
Iowa Other IA0139
Iowa Other 507288
Iowa Other P00157242
Iowa Other 19873

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