Provider Demographics
NPI:1386708782
Name:TROY TOWNSHIP TRUSTEE
Entity type:Organization
Organization Name:TROY TOWNSHIP TRUSTEE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-834-8614
Mailing Address - Street 1:14019 NASH ROAD
Mailing Address - Street 2:
Mailing Address - City:BURTON
Mailing Address - State:OH
Mailing Address - Zip Code:44021-9613
Mailing Address - Country:US
Mailing Address - Phone:440-834-1810
Mailing Address - Fax:440-834-9406
Practice Address - Street 1:14019 NASH ROAD
Practice Address - Street 2:
Practice Address - City:BURTON
Practice Address - State:OH
Practice Address - Zip Code:44021-9613
Practice Address - Country:US
Practice Address - Phone:440-834-1810
Practice Address - Fax:440-834-9406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
341600000X, 3416L0300X
OH341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport