N/a | |
1925 E Dublin Granville Rd Ste 234 Columbus OH 43229-3517 | |
(614) 515-7884 | |
Not Available |
Full Name | N/a |
---|---|
Speciality | Nurse Practitioner |
Location | 1925 E Dublin Granville Rd Ste 234, Columbus, Ohio |
Authorized Official Name and Position | Christabel Abena Ahenkan (PROVIDER) |
Authorized Official Contact | 6145157884 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
N/a 1925 E Dublin Granville Rd Ste 234 Columbus OH 43229-3517 Ph: (614) 515-7884 | N/a 1925 E Dublin Granville Rd Ste 234 Columbus OH 43229-3517 Ph: (614) 515-7884 |
NPI Number | 1780397380 |
---|---|
Provider Enumeration Date | 12/29/2022 |
Last Update Date | 06/02/2023 |
Medicare PECOS PAC ID | 5395107627 |
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Medicare Enrollment ID | O20230817002115 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780397380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
Provider Name | Christabel Abena Ahenkan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568939742 PECOS PAC ID: 4880066448 Enrollment ID: I20230207002724 |
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