Individual
DR. JOHN C. DELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3879 LAKEVIEW DR, GALENA, OH 43021-9521
(740) 965-9743
Mailing address
3879 LAKEVIEW DR, GALENA, OH 43021-9521
(740) 965-9743
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-047072
OH
207R00000X
Internal Medicine Physician
F9359
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000119166
ANTHEM PROVIDER #
OH
05
—
0598134
—
OH
01
—
11077419
RAILROAD MEDICARE #
—
01
—
12822
CARESOURCE PROVIDER #
OH
01
—
1463364
U.M.W.A. PROVIDER #
—
01
—
297477
FED BLACK LUNG PROVIDER #
—
01
—
64934557
MEDICAID PROVIDER #
KY
01
—
9842495
MEDICAID PROVIDER #
WV
01
—
O003160
CHAMPUS PROVIDER #
—
Enumeration date
04/06/2006
Last updated
07/16/2007
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