Provider Demographics
NPI:1154696664
Name:OSEI, EBENEZER GYAMENA (RN)
Entity type:Individual
Prefix:
First Name:EBENEZER
Middle Name:GYAMENA
Last Name:OSEI
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7004 BAYTON PL
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-8119
Mailing Address - Country:US
Mailing Address - Phone:614-352-8861
Mailing Address - Fax:
Practice Address - Street 1:7004 BAYTON PL
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-8119
Practice Address - Country:US
Practice Address - Phone:614-352-8861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-16
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH366688163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse