Erlandson, Jerold Clancy

Erlandson, Jerold Clancy is an individual health care provider with primary practice located at 600 4Th Street , Sioux City IA 51101-1415. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Erlandson, Jerold Clancy can be contacted via phone (712) 255-7746.

Contact Information

Primary practice address
600 4Th Street Sioux City IA 51101-1415
Phone: (712) 255-7746
Fax: (712) 255-0829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R-7904 Iowa
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 38515 Iowa
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 38515 Iowa
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 38515 Iowa

Profile Details

NPI number 1558571497
LBN Legal business name Erlandson, Jerold Clancy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Oct 31st, 2014 - about 11 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 1558571497 NPPES
Iowa MEDICAID 00606
Iowa Other P01025432

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