Isaac Asuming Tawiah

Individual provider Active NPI Licensed Practical Nurse · Blacklick, OH

NPI 1811279771 · NPPES record last updated Sep 15, 2011

Key facts

NPI
1811279771
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN.128809-M-IV (OH)
Practice address
8716 Greylag St
Blacklick, OH 43004-7028
Phone
(614) 501-1522
NPI assigned
Sep 15, 2011
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PN.128809-M-IVOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN.128809-M-IV OH Yes

Addresses

Primary practice location

8716 Greylag St
Blacklick, OH 43004-7028

Mailing address

8716 Greylag St
Blacklick, OH 43004-7028
Phone (614) 501-1522

Other providers in Blacklick, OH

All providers in Blacklick, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.