Individual
NATHAN THIREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
486 COLUMBUS ST, WILMINGTON, OH 45177
(937) 725-3569
Mailing address
PO BOX 867, WILMINGTON, OH 45177-0867
(937) 725-3569
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550109
—
OH
Enumeration date
02/15/2021
Last updated
02/15/2021
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