1447807359 NPI number — EDWARD K OSEI

Table of content: EDWARD K OSEI (NPI 1447807359)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447807359 NPI number — EDWARD K OSEI

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OSEI
Provider First Name:
EDWARD
Provider Middle Name:
K
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ADU
Provider Other First Name:
KWABENA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1447807359
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/26/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
24 FRONT ST # 207
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PATASKALA
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43062-8357
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-507-6808
Provider Business Mailing Address Fax Number:
614-852-4540

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
24 FRONT ST # 207
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PATASKALA
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43062-8357
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-507-6808
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/25/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X , with the licence number:  APRN.CNP.025424 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)