Provider Demographics
NPI:1013385954
Name:ANIGBO, FELIX
Entity Type:Individual
Prefix:
First Name:FELIX
Middle Name:
Last Name:ANIGBO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 355
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-0355
Mailing Address - Country:US
Mailing Address - Phone:513-515-7057
Mailing Address - Fax:
Practice Address - Street 1:431 WESTVIEW TER
Practice Address - Street 2:
Practice Address - City:LITHOPOLIS
Practice Address - State:OH
Practice Address - Zip Code:43136-9709
Practice Address - Country:US
Practice Address - Phone:513-515-7057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251E00000XAgenciesHome Health