Provider Demographics
NPI:1093430290
Name:ARKORFUL, ERNEST FELIX
Entity Type:Individual
Prefix:
First Name:ERNEST
Middle Name:FELIX
Last Name:ARKORFUL
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 1:5369 VALLEY LN E
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-3114
Mailing Address - Country:US
Mailing Address - Phone:614-218-1386
Mailing Address - Fax:
Practice Address - Street 1:5369 VALLEY LN E
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-3114
Practice Address - Country:US
Practice Address - Phone:614-218-1386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSQ491532172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver