Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 35064057D | OH |
NPI | 1013093574 |
---|---|
Provider Name | William I Dillon |
First Address | Bowling Green, OH 43402-5301 |
Second Address | Bowling Green, OH 43402-5301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 28/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013093574 | FRONTPATH HEALTH COALITION (01) | OH |
1013093574 | HEALTH REACH (01) | OH |
1013093574 | MEDICAL MUTUAL OF OHIO (01) | OH |
1013093574 | RAILROAD MEDICARE (01) | OH |
F40805 | (02) | OH |