Bontrager, Lilly S

Bontrager, Lilly S is an individual health care provider with primary practice located at 1800 E 5Th St Ste 1 , Delphos OH 45833-9180. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bontrager, Lilly S can be contacted via phone (419) 692-5611.

Contact Information

Primary practice address
1800 E 5Th St Ste 1 Delphos OH 45833-9180
Phone: (419) 692-5611
Fax: (419) 695-9401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01061077A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35137291 Ohio

Profile Details

NPI number 1033120993
LBN Legal business name Bontrager, Lilly S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 6th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033120993 NPPES
Other 22313 PHYSICIANS HEALTH PLAN
Other P00465447 PHYSICIANS HEALTH PLAN
Other 000000518581 PHYSICIANS HEALTH PLAN
Other 000000665045 PHYSICIANS HEALTH PLAN
Other 000000039572 PHYSICIANS HEALTH PLAN
MEDICAID 200803540 PHYSICIANS HEALTH PLAN

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