Healthcare Provider Details

I. General information

NPI: 1932327384
Provider Name (Legal Business Name): DAVID B. NASH MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 02/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1995 E STATE ST
SALEM OH
44460-2423
US

IV. Provider business mailing address

L - 3135
COLUMBUS OH
43260-0001
US

V. Phone/Fax

Practice location:
  • Phone: 330-332-7320
  • Fax: 330-332-7723
Mailing address:
  • Phone: 330-758-2775
  • Fax: 330-758-2787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number35043342
License Number StateOH

VIII. Authorized Official

Name: DR. DAVID B. NASH
Title or Position: PRESIDENT
Credential: MD
Phone: 330-286-0370