Provider Demographics
NPI:1518212729
Name:ADUSEI-BONSU, GEORGE (LPN)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:ADUSEI-BONSU
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2763 SALEM HILLS CT
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-9517
Mailing Address - Country:US
Mailing Address - Phone:614-377-2019
Mailing Address - Fax:
Practice Address - Street 1:2763 SALEM HILLS CT
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-9517
Practice Address - Country:US
Practice Address - Phone:614-377-2019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-13
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.147985-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse