Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 4379 | IA |
NPI | 1801997275 |
---|---|
Provider Name | Stephen John Dalsing |
First Address | Dubuque, IA 52002-3896 |
Second Address | Dubuque, IA 52002-3896 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 09/01/2014 |