Provider Demographics
NPI:1871108415
Name:NASH, RONALD L III
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:L
Last Name:NASH
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:B134 COUNTY ROAD 17
Mailing Address - Street 2:
Mailing Address - City:NEW BAVARIA
Mailing Address - State:OH
Mailing Address - Zip Code:43548-9721
Mailing Address - Country:US
Mailing Address - Phone:419-438-1914
Mailing Address - Fax:
Practice Address - Street 1:20259 BALL RD
Practice Address - Street 2:
Practice Address - City:DEFIANCE
Practice Address - State:OH
Practice Address - Zip Code:43512-8620
Practice Address - Country:US
Practice Address - Phone:419-438-1914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide