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NPI Code Detail

MEDICARE: DR. JOHN C. DELL JR. M.D.

MEDICARE:  DR. JOHN C. DELL JR. M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician35-047072OH
2207R00000XInternal Medicine PhysicianF9359TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
911077419OTHERRAILROAD MEDICARE #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2O003160OTHERCHAMPUS PROVIDER #
312822OTHEROHCARESOURCE PROVIDER #
4297477OTHERFED BLACK LUNG PROVIDER #
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
61463364OTHERU.M.W.A. PROVIDER #
7000000119166OTHEROHANTHEM PROVIDER #
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356304901
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN C. DELL JR. M.D.
Provider Business Mailing Address
First Line : 3879 LAKEVIEW DR
Second Line :
City : GALENA
State : OH
Zip : 43021-9521
Country : US
Telephone Number : 740-965-9743
Fax Number :
Provider Business Practice Location Address
First Line : 3879 LAKEVIEW DR
Second Line :
City : GALENA
State : OH
Zip : 43021-9521
Country : US
Telephone Number : 740-965-9743
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2006
Last Update Date : 07/16/2007

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Directions to “ DR. JOHN C. DELL JR. M.D.” Practice Location

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