Diethelm, James D

Diethelm, James D is an individual health care provider with primary practice located at 7640 Sylvania Avenue #100, Sylvania OH 43560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Diethelm, James D can be contacted via phone (419) 473-2273.

Contact Information

Primary practice address
7640 Sylvania Avenue #100 Sylvania OH 43560
Phone: (419) 473-2273
Fax: (419) 473-0474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35041896 Ohio

Profile Details

NPI number 1093710410
LBN Legal business name Diethelm, James D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated May 1st, 2012 - about 12 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 1093710410 NPPES
Ohio MEDICAID 0411969
Ohio Other 080164173

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