Nathan Ford
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Eaton, OH
NPI 1194131946 · NPPES record last updated Jul 9, 2014
Key facts
- NPI
- 1194131946
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 120840 (OH)
- Practice address
- 228 N Barron St
Eaton, OH 45320-1704 - Phone
- (937) 456-7694
- NPI assigned
- Jul 1, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120840 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 120840 | OH | Yes |
Addresses
Primary practice location
228 N Barron St
Eaton, OH 45320-1704
Mailing address
119 Tate Ave
Englewood, OH 45322-1619
Phone (937) 414-5398
Other providers in Eaton, OH
- Jessica Leigh Falkner
- Danielle Falldorf
- Jolene C Faris
- Harold Allen Ferguson Jr.
- Misty Dawn Rennee Flannery
- Ronald Fox
- Kelley Franks
- Taylor Nicole Fritz
- Aubree Fulton
- Gaitwell Orthotics and Pedorthics
All providers in Eaton, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.