Most Relevant Information
Provider Data
| NPI Number: | 1003467994 |
| Provider Name: | NATHAN WHITE |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/23/2019 |
| Last Updated: | 09/23/2019 |
Provider Practice Location
2052 PRINCETON RD
FAIRFIELD TOWNSHIP
OH
450114746
Practice Location Phone/Fax
| Phone: | 5138636383 |
| Fax: |
Provider Mailing Location
2052 PRINCETON RD
FAIRFIELD TOWNSHIP
OH
450114746
Provider Mailing Phone/Fax
| Phone: | 5138636383 |
| Fax: |