Provider Demographics
NPI:1588468169
Name:STRODE, PAUL
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:STRODE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 ROUND LAKE CT
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:IN
Mailing Address - Zip Code:46052-9030
Mailing Address - Country:US
Mailing Address - Phone:317-441-8944
Mailing Address - Fax:
Practice Address - Street 1:1514 ROUND LAKE CT
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:IN
Practice Address - Zip Code:46052-9030
Practice Address - Country:US
Practice Address - Phone:317-441-8944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INF36053171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications