Dewalt, John Duffy

Dewalt, John Duffy is an sole proprietor health care provider with primary practice located at 144 East Main Street , Logan OH 43138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Dewalt, John Duffy can be contacted via phone (740) 385-1881.

Contact Information

Primary practice address
144 East Main Street Logan OH 43138
Phone: (740) 385-1881
Fax: (740) 385-1875
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 34002686D Ohio

Profile Details

NPI number 1508869702
LBN Legal business name Dewalt, John Duffy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2005
Last updated Jan 13th, 2016 - about 9 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 1508869702 NPPES
Ohio Other 1269034 BWC PROVIDER NUMBER
Ohio Other CD3781 BWC PROVIDER NUMBER
Ohio MEDICAID 0365073 BWC PROVIDER NUMBER

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