DR. Jim Paul Licandro DPM

  • NPI 1609873538
According to our database, the NPI number for DR. Jim Paul Licandro DPM is 1609873538 and activated since 18 years ago. DR. Jim Paul Licandro DPM is an individual provider who specializes in Podiatrist, and the primary practice location is 405 Woodlawn Rd, Long Grove, IA 52756. You can also contact DR. Jim Paul Licandro DPM via telephone number is (832) 425-7457. Provider NPI information was last updated on 07/22/2018.

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Overview of DR. Jim Paul Licandro DPM

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/07/2005
  • Last updated: 07/22/2018

Primary Scrop of Practice

  • Taxonomy Code: 213E00000X
  • Specialty: Podiatrist
  • License Number: 00705
  • License State: IA

Provider Mailing Address

  • Address: 5261 Boulder Dr Apt D
    West Des Moines, IA 50265
  • Phone: 563-340-4387
  • Fax: 563-424-7234

Provider Practice Location

  • Address: 405 Woodlawn Rd
    Long Grove, IA 52756
  • Phone: 832-425-7457
  • Fax: 563-285-5446

Scope of Practice

  • Taxonomy Code: 213E00000X
  • Specialty: Podiatrist
  • License Number: 00705
  • License State: IA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1197210
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Jim Paul Licandro DPM?
  • A: The npi number for DR. Jim Paul Licandro DPM is 1609873538.
  • Q: What are DR. Jim Paul Licandro DPM's specialties?
  • A: DR. Jim Paul Licandro DPM's specialties are Podiatrist and different specialities.
  • Q: What is the medical license for DR. Jim Paul Licandro DPM?
  • A: The medical license number for DR. Jim Paul Licandro DPM is 00705 and issued in IA in USA.
  • Q: Where is DR. Jim Paul Licandro DPM practice location?
  • A: DR. Jim Paul Licandro DPM is practicing at 405 Woodlawn Rd, Long Grove, IA 52756.
  • Q: How to contact DR. Jim Paul Licandro DPM?
  • A: You can contact DR. Jim Paul Licandro DPM via 832-425-7457.