Jergenson, Douglas J
Jergenson, Douglas J is an individual health care provider with primary practice located at 221 Main Ave , Clinton IA 52732-2241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jergenson, Douglas J can be contacted via phone (563) 242-7522.Contact Information
Primary practice address
221 Main Ave
Clinton IA 52732-2241
Phone: (563) 242-7522
Fax: (563) 242-7534
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 22254 | Iowa |
Profile Details
NPI number | 1689678344 |
---|---|
LBN Legal business name | Jergenson, Douglas J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 10th, 2005 |
Last updated | Oct 13th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689678344 | NPPES |
Iowa | MEDICAID | 1193565 |
Popular Providers
-
Fathala, Ahmed
2745 Lincoln Way , Clinton IA 52732-7201 -
Villanueva, Roberto Manuel
1240 Jesse Jewell Pkwy Se Suite 500, Gainesville GA 30501-3862 -
Wittman, William J
10 Bramblebush Park , Falmouth MA 02540-2325 -
Barakat, Suheil I
915 13Th Ave N , Clinton IA 52732-5067 -
Somuri, Sasidhar
1410 N 4Th St , Clinton IA 52732-2940 -
Halstead, Philip W
602 S Atwood Rd Suite 101, Bel Air MD 21014-4172 -
Randell, Andrea Lee
2770 Capital Medical Blvd Ste 200 , Tallahassee FL 32308-8419 -
Prelutsky, David J
2340 Hampton Ave , Saint Louis MO 63139-2909