Individual
JIMMY HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
43 N PLAZA BLVD, CHILLICOTHE, OH 45601-1760
(740) 774-1111
(740) 774-1112
Mailing address
PO BOX 1610, CHILLICOTHE, OH 45601-5610
(740) 774-1111
(740) 774-1112
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35-065173
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006477
ANTHEM BC/BS
—
05
—
0922514
—
OH
01
—
310851206015
MEDICAL MUTUAL OF OHIO
—
Enumeration date
10/25/2006
Last updated
07/08/2007
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