Individual
NATHAN WILLIAM MURPHY VIII
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
170 HORSE SHOE DR, LAKE WAYNOKA, OH 45171-8139
(937) 510-5468
Mailing address
170 HORSE SHOE DR, LAKE WAYNOKA, OH 45171-8139
(937) 510-5468
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0245197
—
OH
Enumeration date
11/28/2020
Last updated
12/31/2020
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