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Contact Information

ELMER F DILTZ JR, DO
4254 E MAIN ST
COLUMBUS, OH43213
 Phone: 614-235-9944
 Fax: 614-235-9344
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ELMER F DILTZ JR · (Male)

NPI Number 1104877042
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/15/2006
Last updated 08/24/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 34003331
  • OH Medicaid 0538574
Hospital affiliation(s)
  • GRANT MEDICAL CENTER - (Acute Care)
    111 SOUTH GRANT AVENUE
    COLUMBUS, OH 43215
  • RIVERSIDE METHODIST HOSPITAL - (Acute Care)
    3535 OLENTANGY RIVER RD
    COLUMBUS, OH 43214
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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