Provider Demographics
NPI:1356516645
Name:BINDER, MICHAEL H (RN)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:H
Last Name:BINDER
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2939 S DUCK CREEK RD
Mailing Address - Street 2:
Mailing Address - City:NORTH JACKSON
Mailing Address - State:OH
Mailing Address - Zip Code:44451-9689
Mailing Address - Country:US
Mailing Address - Phone:330-538-3989
Mailing Address - Fax:
Practice Address - Street 1:2939 S DUCK CREEK RD
Practice Address - Street 2:
Practice Address - City:NORTH JACKSON
Practice Address - State:OH
Practice Address - Zip Code:44451-9689
Practice Address - Country:US
Practice Address - Phone:330-538-3989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN199458163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2079245Medicaid