Basic Information
Provider Information
NPI: 1588701205
EntityType: 2
ReplacementNPI:  
OrganizationName: CNOS PC
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Mailing Information
Address1: PO BOX 1430
Address2:  
City: DAKOTA DUNES
State: SD
PostalCode: 570491430
CountryCode: US
TelephoneNumber: 6052172667
FaxNumber: 6052172900
Practice Location
Address1: 5708 SUNNYBROOK CT
Address2:  
City: SIOUX CITY
State: IA
PostalCode: 511064254
CountryCode: US
TelephoneNumber: 6052172667
FaxNumber: 6052172900
Other Information
ProviderEnumerationDate: 01/31/2007
LastUpdateDate: 07/18/2022
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: CASE
AuthorizedOfficialFirstName: JAMES
AuthorizedOfficialMiddleName: L.
AuthorizedOfficialTitleorPosition: OWNER/BOARD OF DIRECTOR
AuthorizedOfficialTelephone: 6052172667
IsSoleProprietor:  
IsOrganizationSubpart: N
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AuthorizedOfficialCredential: MD
NPICertificationDate: 07/18/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RR0500X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
207T00000X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansNeurological Surgery 
208100000X0369SDN193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation 
208200000X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPlastic Surgery 
2084N0400X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
213E00000X  N193200000X MULTI-SPECIALTY GROUPPodiatric Medicine & Surgery Service ProvidersPodiatrist 
332B00000X0369SDN SuppliersDurable Medical Equipment & Medical Supplies 
207X00000X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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