Provider Demographics
NPI:1093073595
Name:ANYE, FON
Entity Type:Individual
Prefix:
First Name:FON
Middle Name:
Last Name:ANYE
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 1:5167 CRITERION WAY
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-7821
Mailing Address - Country:US
Mailing Address - Phone:240-593-7121
Mailing Address - Fax:
Practice Address - Street 1:5167 CRITERION WAY
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-7821
Practice Address - Country:US
Practice Address - Phone:240-593-7121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-03
Last Update Date:2024-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide