Provider Demographics
NPI:1568295004
Name:BISHOP, TROY B
Entity type:Individual
Prefix:
First Name:TROY
Middle Name:B
Last Name:BISHOP
Suffix:
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:PO BOX 34
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:OH
Mailing Address - Zip Code:45634-0034
Mailing Address - Country:US
Mailing Address - Phone:740-384-5378
Mailing Address - Fax:
Practice Address - Street 1:390 WOOL WEAVER AVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:OH
Practice Address - Zip Code:45634-5079
Practice Address - Country:US
Practice Address - Phone:740-384-5378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker