Provider Demographics
NPI:1497300412
Name:ACHEAMPONG, JAPHET OPOKU
Entity Type:Individual
Prefix:
First Name:JAPHET
Middle Name:OPOKU
Last Name:ACHEAMPONG
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 1:2324 ROCKSPRING RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-1658
Mailing Address - Country:US
Mailing Address - Phone:269-240-7193
Mailing Address - Fax:
Practice Address - Street 1:2324 ROCKSPRING RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-1658
Practice Address - Country:US
Practice Address - Phone:269-240-7193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-06
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide