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Contact Information

JONATHAN F DILLER, MD
1479 N RIVER RD
FREMONT, OH43420
 Phone: 419-332-9978
 Fax: 419-332-7989
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JONATHAN F DILLER · (Male)

NPI # 1639130164
Status Active
Credentials MD
Entity Individual
Enumeration date 04/01/2006
Last updated 06/06/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 35-045285
  • OH Medicaid 0437049
  • OH Other 0004312244 AETNA
  • OH Other 000000110993 ANTHEM
Hospital affiliation(s) Not Available
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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