National Provider Identifier Database

JILL L LIESVELD, MD – NPI #1134114804
Addiction Psychiatry

Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.


Contact Information

JILL L LIESVELD, MD
200 HAWKINS DR
IOWA CITY, IA52242-1009
Phone: 319-384-9364
Fax: 319-384-9362
Website:
Specialty Taxonomy Code
* Addiction Psychiatry 2084P0802X
Child & Adolescent Psychiatry 2084P0804X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for JILL L LIESVELD

NPI Number 1134114804
Credentials MD
Entity Individual
Enumeration date 09/19/2005
Last updated 12/12/2007 - About 18 years ago
Sole proprietor1 No
Identifiers
  • IA License #: 26197
  • IA Medicaid: 0162610
  • IA Other: 41636 WELLMARK BCBS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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