Individual
DR. NATHAN D TRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1201 STATE ROAD 114 E, NORTH MANCHESTER, IN 46962
(260) 982-8681
(260) 982-2912
Mailing address
1201 STATE ROAD 114 E, NORTH MANCHESTER, IN 46962-9393
(260) 982-8681
(260) 982-2912
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003366
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200522090
—
IN
Enumeration date
03/25/2006
Last updated
08/15/2018
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