Chancellor, Jon Eric
Chancellor, Jon Eric is an sole proprietor health care provider with primary practice located at 703 Hill Country Dr Ste 301 , Kerrville TX 78028-6162. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Chancellor, Jon Eric can be contacted via phone (830) 792-4805.Contact Information
Primary practice address
703 Hill Country Dr Ste 301
Kerrville TX 78028-6162
Phone: (830) 792-4805
Fax: (830) 792-4883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | M0372 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M0372 | Texas |
Profile Details
| NPI number | 1598708794 |
|---|---|
| LBN Legal business name | Chancellor, Jon Eric |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jan 4th, 2024 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598708794 | NPPES |
| Texas | MEDICAID | 181234901 | |
| Texas | Other | 8K2537 |
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