Provider Demographics
NPI:1205021326
Name:MENSAH, RONNIE A
Entity Type:Individual
Prefix:
First Name:RONNIE
Middle Name:A
Last Name:MENSAH
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 1:8920 CORAL CANYON CIR
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-9521
Mailing Address - Country:US
Mailing Address - Phone:614-354-5767
Mailing Address - Fax:
Practice Address - Street 1:8920 CORAL CANYON CIR
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-9521
Practice Address - Country:US
Practice Address - Phone:614-354-5767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health