Healthcare Provider Details

I. General information

NPI: 1356516645
Provider Name (Legal Business Name): MICHAEL H BINDER RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2008
Last Update Date: 04/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2939 S DUCK CREEK RD
NORTH JACKSON OH
44451-9689
US

IV. Provider business mailing address

2939 S DUCK CREEK RD
NORTH JACKSON OH
44451-9689
US

V. Phone/Fax

Practice location:
  • Phone: 330-538-3989
  • Fax:
Mailing address:
  • Phone: 330-538-3989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN199458
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: