Provider Demographics
NPI:1629068606
Name:NASH, DEBORAH JANE (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:JANE
Last Name:NASH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:245 S GARBER DR
Mailing Address - Street 2:
Mailing Address - City:TIPP CITY
Mailing Address - State:OH
Mailing Address - Zip Code:45371-1183
Mailing Address - Country:US
Mailing Address - Phone:937-877-1222
Mailing Address - Fax:937-877-1222
Practice Address - Street 1:245 S GARBER DR
Practice Address - Street 2:
Practice Address - City:TIPP CITY
Practice Address - State:OH
Practice Address - Zip Code:45371-1183
Practice Address - Country:US
Practice Address - Phone:937-877-1222
Practice Address - Fax:937-877-1222
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2010-12-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35044154N207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHB96474Medicare UPIN