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Contact Information

JEREMY J DILLER
14574 ST RT 23
WAVERLY, OH45690
 Phone: 740-912-9126
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for JEREMY J DILLER · (Male)

NPI Number 1114681830
Status Active
Credentials
Entity Individual
Enumeration date 10/28/2021
Last updated 10/28/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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