Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 151736 | MA |
N | 2084N0400X | Neurologist | 37435 | IA |
Y | 2084N0402X | Child Neurologist | 37435 | IA |
NPI | 1083635429 |
---|---|
Provider Name | Dr. Steven F Stasheff |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 03/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3198987 | (05) | MA |
70393 | WELLMARK BCBS (01) | IA |
H43998 | (02) | MA |