Provider Demographics
NPI:1528243227
Name:POWELL, DSCHON LAMAR (NURSE AID)
Entity type:Individual
Prefix:MR
First Name:DSCHON
Middle Name:LAMAR
Last Name:POWELL
Suffix:
Gender:M
Credentials:NURSE AID
Other - Prefix:MR
Other - First Name:DSCHON
Other - Middle Name:LAMAR
Other - Last Name:POWELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NURSE AID
Mailing Address - Street 1:3137 MCGILL RD
Mailing Address - Street 2:3137 MCGILL LANE
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-3111
Mailing Address - Country:US
Mailing Address - Phone:513-522-1390
Mailing Address - Fax:513-522-1390
Practice Address - Street 1:3137 MCGILL RD
Practice Address - Street 2:3137 MCGILL LANE
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-3111
Practice Address - Country:US
Practice Address - Phone:513-522-1390
Practice Address - Fax:513-522-1390
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-01
Last Update Date:2008-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide