Henock W Tequabo

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

6536 Rosebrook LN
Reynoldsburg, OH 43068-4347

Phone

(614) 556-7233

Fax

(614) 556-7233

NPI assigned

Dec 27, 2017

Last updated

Dec 27, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514332800000",
    "number": "1215443353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6536 ROSEBROOK LN",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430684347",
            "telephone_number": "614-556-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6536 ROSEBROOK LN",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430684347",
            "telephone_number": "614-556-7233",
            "fax_number": "614-556-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEQUABO",
        "first_name": "HENOCK",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-27",
        "last_updated": "2017-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Reynoldsburg, OH
• Providers in Reynoldsburg, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.