Jondahl, Irvin Errol

Jondahl, Irvin Errol is an individual health care provider with primary practice located at 1014 Memorial Dr 1St Floor, Denison TX 75020-2079. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jondahl, Irvin Errol can be contacted via phone (903) 416-6000.

Contact Information

Primary practice address
1014 Memorial Dr 1St Floor Denison TX 75020-2079
Fax: (903) 416-6183
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J5363 Texas

Profile Details

NPI number 1912935958
LBN Legal business name Jondahl, Irvin Errol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Sep 10th, 2008 - about 17 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 1912935958 NPPES
Texas MEDICAID 099255401

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