Dillingham, Thomas

Dillingham, Thomas is an individual health care provider with primary practice located at 4421 Roosevelt Blvd Ste A , Middletown OH 45044-9024. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Dillingham, Thomas can be contacted via phone (833) 952-0829.

Contact Information

Primary practice address
4421 Roosevelt Blvd Ste A Middletown OH 45044-9024
Phone: (833) 952-0829
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 161408 Ohio

Profile Details

NPI number 1225573496
LBN Legal business name Dillingham, Thomas
Credentials LICDC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2016
Last updated Jul 31st, 2019 - about 7 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 1225573496 NPPES
Ohio MEDICAID 0246686

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