Individual ProviderNathaniel WichmanCommunity/Behavioral HealthAgenciesPractice Address830 N Summit St, Toledo, OH 43604-1884(419) 693-9600PECOS EnrollmentBased on the most recent information from CMS, provider Nathaniel Wichman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1437658820Provider TypeIndividualFull NameWichman, NathanielGenderMaleSole ProprietorYesEnumeration Date2/12/2018Last Updated7/21/2022Contact InformationPractice LocationPractice Address830 N Summit St, Toledo, OH 43604-1884Phone(419) 693-9600FaxUnlisted FaxMailing LocationMailing Address830 N Summit St, Toledo, OH 43604-1884Phone(419) 693-9600FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted Issuer