Igelman, Jon David

Igelman, Jon David is an individual health care provider with primary practice located at 2959 Siskiyou Blvd #B, Medford OR 97504-8131. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Igelman, Jon David can be contacted via phone (541) 773-3636.

Contact Information

Primary practice address
2959 Siskiyou Blvd #B Medford OR 97504-8131
Phone: (541) 773-3636
Fax: (541) 773-4643
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD21548 Oregon

Profile Details

NPI number 1568403228
LBN Legal business name Igelman, Jon David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Apr 19th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568403228 NPPES
Oregon MEDICAID 092611

Popular Providers