Diller, Jonathan F.
Diller, Jonathan F. is an sole proprietor health care provider with primary practice located at 1479 N River Rd , Fremont OH 43420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Diller, Jonathan F. can be contacted via phone (419) 332-9978.Contact Information
Primary practice address
1479 N River Rd
Fremont OH 43420
Phone: (419) 332-9978
Fax: (419) 332-7989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35-045285 | Ohio |
Profile Details
| NPI number | 1639130164 |
|---|---|
| LBN Legal business name | Diller, Jonathan F. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 1st, 2006 |
| Last updated | Jun 6th, 2018 - 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 | 1639130164 | NPPES |
| Ohio | Other | 000000110993 | ANTHEM |
| Ohio | MEDICAID | 0437049 | ANTHEM |
| Ohio | Other | 0004312244 | ANTHEM |
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