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Individual
DR. JACK DINGLE
Active
Individual
DR. JACK DINGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35.034836
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000116910
ANTHEM BC BS
OH
05
—
0139951
—
OH
01
—
0800048
UNITED HEALTHCARE
OH
01
—
4459708
AETNA
OH
01
—
4471296004
CIGNA
OH
Enumeration date
09/28/2006
Last updated
05/07/2020
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