Individual
NATHAN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2319 VAN BUSKIRK RD, ANDERSON, IN 46011-1044
(765) 278-2959
Mailing address
2319 VAN BUSKIRK RD, ANDERSON, IN 46011-1044
(765) 278-2959
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
171WH0202X
Home Modifications Contractor
Primary
—
—
372500000X
Chore Provider
—
—
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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