Individual
DONALD MYERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
430 N SAYERS RD, TROY, OH 45373-8659
(937) 570-4262
Mailing address
430 N SAYERS RD, TROY, OH 45373-8659
(937) 570-4262
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0306012
—
OH
Enumeration date
10/08/2020
Last updated
10/08/2020
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