Healthcare Provider Details

I. General information

NPI: 1336079193
Provider Name (Legal Business Name): JOHN DILLON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 3RD AVE
CHESAPEAKE OH
45619-1038
US

IV. Provider business mailing address

609 3RD AVE
CHESAPEAKE OH
45619-1038
US

V. Phone/Fax

Practice location:
  • Phone: 423-973-1614
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: