Tesdahl, James C

Tesdahl, James C is an individual health care provider with primary practice located at 1620 Superior St Ste 3 , Webster City IA 50595-2913. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Tesdahl, James C can be contacted via phone (515) 832-2401.

Contact Information

Primary practice address
1620 Superior St Ste 3 Webster City IA 50595-2913
Phone: (515) 832-2401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 02020 Iowa

Profile Details

NPI number 1912999723
LBN Legal business name Tesdahl, James C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Feb 25th, 2020 - about 5 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 1912999723 NPPES
Iowa Other 410043813 RAILROAD MEDICARE

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