Individual
JOSEPH T NYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.
Contact information
Practice address
1442 E STATE ST, FREMONT, OH 43420-4061
(419) 355-1004
(419) 355-1014
Mailing address
1442 E STATE ST, FREMONT, OH 43420-4061
(419) 355-1004
(419) 355-1014
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
LP.82
OH
224P00000X
Prosthetist
LP.82
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156352
—
OH
Enumeration date
08/09/2006
Last updated
11/01/2007
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