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
Phone: (903) 416-6000
Fax: (903) 416-6183
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912935958 | NPPES |
Texas | MEDICAID | 099255401 |
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