Individual
DR. WILLIAM JOSEPH DICHTEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-2270
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101040423
VA
207Y00000X
Otolaryngology Physician
Primary
MD443576
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010415641
—
VA
05
—
010415659
—
VA
01
—
040002045
MEDICARE RAILROAD
—
01
—
055467
ANTHEM
VA
01
—
299656
MAMSI
—
05
—
6522505
—
VA
01
—
H12101
JOHN DEERE
—
Enumeration date
06/16/2005
Last updated
09/20/2011
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