Nyderek, Phil James
Nyderek, Phil James is an sole proprietor health care provider with primary practice located at 103 Ashmoore Drive , Greenup KY 41144. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Nyderek, Phil James can be contacted via phone (740) 821-6973.Contact Information
Primary practice address
103 Ashmoore Drive
Greenup KY 41144
Phone: (740) 821-6973
Fax: (606) 473-1389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Home Modifications | 171WH0202X |
Profile Details
| NPI number | 1194984443 |
|---|---|
| LBN Legal business name | Nyderek, Phil James |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2008 |
| Last updated | May 12th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194984443 | NPPES |
| Ohio | MEDICAID | 2778632 |
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