Ditzel, Douglas W

Ditzel, Douglas W is an individual health care provider with primary practice located at 9000 N Main St , Englewood OH 45415-1180. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Ditzel, Douglas W can be contacted via phone (937) 293-1622.

Contact Information

Primary practice address
9000 N Main St Englewood OH 45415-1180
Phone: (937) 293-1622
Fax: (937) 245-6308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 34003583D Ohio
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 34.003583 Ohio

Profile Details

NPI number 1154381747
LBN Legal business name Ditzel, Douglas W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jan 5th, 2022 - about 4 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 1154381747 NPPES
Ohio MEDICAID 2138985

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