Provider Demographics
NPI:1396231338
Name:SESAY, ALHASSAN N (LPN)
Entity type:Individual
Prefix:
First Name:ALHASSAN
Middle Name:N
Last Name:SESAY
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2472 CAROLINA AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-6869
Mailing Address - Country:US
Mailing Address - Phone:646-640-6881
Mailing Address - Fax:
Practice Address - Street 1:2472 CAROLINA AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-6869
Practice Address - Country:US
Practice Address - Phone:646-640-6881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-02
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH166377164W00000X
OHLPN.166377.MEDIV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH166377OtherBOARD OF NURSING