Provider Demographics
NPI:1801328323
Name:DELGADILLO, JORDAN ZEHR (DO)
Entity type:Individual
Prefix:
First Name:JORDAN
Middle Name:ZEHR
Last Name:DELGADILLO
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:JORDAN
Other - Middle Name:
Other - Last Name:ZEHR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:950 OCTORARA TRL
Mailing Address - Street 2:
Mailing Address - City:PARKESBURG
Mailing Address - State:PA
Mailing Address - Zip Code:19365-2100
Mailing Address - Country:US
Mailing Address - Phone:610-857-6648
Mailing Address - Fax:610-857-6638
Practice Address - Street 1:950 S. OCTORARA TRAIL
Practice Address - Street 2:
Practice Address - City:PARKESBURG
Practice Address - State:PA
Practice Address - Zip Code:19365-2100
Practice Address - Country:US
Practice Address - Phone:610-857-6648
Practice Address - Fax:610-857-6638
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS021434204D00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM