Search › Indiana › 207Q00000X
Jonathan Ditty, M.D
NPI 1518316140 · on the registry since 2016 · sole proprietor
Practice
- Address
- 4440 Portage Ave
South Bend, IN 46628 - Phone
- (574) 204-6200
- Fax
- (574) 239-1520
- Organisation at this address
- The South Bend Clinic Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana