Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JIM EDWIN EWOLDT
Active Sole ProprietorSpecialist · SIOUX CITY, IA
Registration Details
- NPI Number
- 1083583298
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 4, 2025 (0.48885641232312 yrs)
- Last Updated
- Nov 4, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
4501 SOUTHERN HILLS DR STE 18SIOUX CITY, IA, 511064743Browse IA providers · Browse ZIP 51106
- Phone
- 7122768087
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in SIOUX CITY, IA
| Name | Credential | NPI |
|---|---|---|
| RICHARD D. HILDEBRAND | M.D. | 1073574802 |
| JAMES L. LAUCK JR. | D.O. | 1235190067 |
| ELIZABETH A MCINERNEY | MD | 1417918921 |
| MS. MICHELE KREISBERG PALMER | PT | 1184672479 |
| DR. HEIDI M NELSON | DPT | 1700173192 |
| MISS LISA MARIE THEISEN | LMT | 1871938738 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.