Wieskamp, Stephen Theodore

Wieskamp, Stephen Theodore is an individual health care provider with primary practice located at 2109 Cedarwood Dr Ste 100 , Muscatine IA 52761-2670. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wieskamp, Stephen Theodore can be contacted via phone (563) 288-6787.

Contact Information

Primary practice address
2109 Cedarwood Dr Ste 100 Muscatine IA 52761-2670
Fax: (563) 288-6719
Website:

Health care specialties

Profile Details

NPI number 1619996691
LBN Legal business name Wieskamp, Stephen Theodore
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Mar 30th, 2018 - 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 1619996691 NPPES
Iowa MEDICAID 0263731
Iowa Other 349984700
Iowa Other 49799

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