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:
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Health care specialties

SpecialtyCodeLicense #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 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598708794 NPPES
Texas MEDICAID 181234901
Texas Other 8K2537

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