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NATHANIEL TRAVIS MARVEL JR. NPI 1053411447


NPI Information

NPI: 1053411447
Provider Name: NATHANIEL TRAVIS MARVEL, JR.
Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Organization

Specialization: Geriatric Psychiatry

Address:
143 LAKEVIEW CT.
LOVELAND, OH
ZIP 45140
Phone: (513) 535-1064
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NATHANIEL TRAVIS MARVEL, JR. is a geriatric psychiatry psychiatry neurology in Loveland, OH. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. NATHANIEL TRAVIS MARVEL, JR. NPI is 1053411447. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

143 LAKEVIEW CT.
LOVELAND, OH
ZIP 45140
Phone: (513) 535-1064
Fax: (513) 774-8612

The provider's authorized official is Nathaniel Travis Marvel .
The authorized official title is Owner and has the following contact phone number (513) 535-1064.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 11/30/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0805XPsychiatry & NeurologyGeriatric Psychiatry35-051342OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DF0430OTHEROHIORR MEDICARE
29363251MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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