Jebsen, Darrell A.

Jebsen, Darrell A. is an individual health care provider with primary practice located at 312 E Main St , Marshalltown IA 50158-1888. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jebsen, Darrell A. can be contacted via phone (641) 752-5469.

Contact Information

Primary practice address
312 E Main St Marshalltown IA 50158-1888
Phone: (641) 752-5469
Fax: (641) 844-2205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23077 Iowa

Profile Details

NPI number 1619966785
LBN Legal business name Jebsen, Darrell A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Aug 2nd, 2012 - about 12 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 1619966785 NPPES
Iowa MEDICAID 0202119

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