Dr. Jim Paul Licandro is a Long Grove, Iowa based male podiatrist who is specialized in Podiatry. Active license number of Dr. Jim Paul Licandro for Podiatry is 00705 in Iowa. Dr. Jim Paul Licandro is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Jim Paul Licandro speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Gender:
Male
Practice Address:
405 Woodlawn Rd, Long Grove, Iowa, 52756
Phone:
832-425-7457
Fax:
563-285-5446
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1609873538
NPI Enumeration Date:
07 Jul, 2005
NPI Last Update On:
22 Jul, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jim Paul Licandro are as mentioned below.
License Number
Specialization
State
Status
00705
Podiatry
Iowa
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jim Paul Licandro such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1197210
Medicaid
Iowa
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5261 Boulder Dr Apt D, West Des Moines, Iowa
Zip:
50265-7823
Phone Number:
563-340-4387
Fax Number:
563-424-7234
Patients can reach Dr. Jim Paul Licandro at 405 Woodlawn Rd, Long Grove, Iowa or can call to book an appointment on 832-425-7457. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
Similar Podiatrist in Long Grove, IA
No other Podiatrist is available in Long Grove, IA.