Healthcare Provider Details

I. General information

NPI: 1710988159
Provider Name (Legal Business Name): STEPHEN J VEIT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 11/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 E BOW DR
CHEROKEE IA
51012-1215
US

IV. Provider business mailing address

445 EUCLID AVE
CHEROKEE IA
51012-1910
US

V. Phone/Fax

Practice location:
  • Phone: 712-225-6431
  • Fax: 712-225-3572
Mailing address:
  • Phone: 712-225-4193
  • Fax: 712-225-3572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number18996
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: