Individual
DR. DENNIS J. JELDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 E. JOHNSTON STREET, HOLYOKE, CO 80734-1854
(970) 854-2500
(970) 854-3440
Mailing address
1001 E. JOHNSON STREET, HOLYOKE, CO 80734-1854
(970) 854-2500
(970) 854-3440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34972
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00017329
BANNERHEALTH PROV #
CO
05
—
01349729
—
CO
01
—
080121472
RR MEDICARE PROV #
CO
01
—
846014138007
ROCKY MTN HMO
CO
01
—
84601413802
PACIFICARE PROV #
CO
05
—
84601413812
—
NE
01
—
FA231008
BCBS PROV #
CO
Enumeration date
08/02/2006
Last updated
05/13/2010
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