Provider Demographics
NPI:1699559146
Name:NUTECH INSTITUTE LLC
Entity type:Organization
Organization Name:NUTECH INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-510-2220
Mailing Address - Street 1:1800 GORDON RD
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45335-9730
Mailing Address - Country:US
Mailing Address - Phone:937-510-2220
Mailing Address - Fax:
Practice Address - Street 1:1220 WATERWAY BLVD STE M115
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-2157
Practice Address - Country:US
Practice Address - Phone:463-271-4545
Practice Address - Fax:463-271-4599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch