Dejonghe, Erik M

Dejonghe, Erik M is an individual health care provider with primary practice located at 655 Sierra Rose Dr , Reno NV 89511-2060. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Dejonghe, Erik M can be contacted via phone (775) 829-7600.

Contact Information

Primary practice address
655 Sierra Rose Dr Reno NV 89511-2060
Phone: (775) 829-7600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 16534 Nevada
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 16534 Nevada

Profile Details

NPI number 1295711414
LBN Legal business name Dejonghe, Erik M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Mar 28th, 2018 - about 6 years 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 1295711414 NPPES
Indiana Other 000000973245 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 805228 ANTHEM PROVIDER NUMBER
Indiana MEDICAID PENDING ANTHEM PROVIDER NUMBER
Indiana MEDICAID 01358084 ANTHEM PROVIDER NUMBER

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