Individual
PHIL JAMES NYDEREK SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 ASHMOORE DRIVE, GREENUP, KY 41144
(740) 821-6973
(606) 473-1389
Mailing address
103 ASHMOORE DRIVE, GREENUP, KY 41144
(740) 821-6973
(606) 473-1389
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2778632
—
OH
Enumeration date
06/03/2008
Last updated
05/12/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us