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:
Health care specialties
Specialty | Code | License # | 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 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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