Provider Demographics
NPI:1629481817
Name:TCHAYA TCHINANG, PAULIN HERVE
Entity Type:Individual
Prefix:
First Name:PAULIN HERVE
Middle Name:
Last Name:TCHAYA TCHINANG
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 1:5642 SAFARI DR
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45044-8672
Mailing Address - Country:US
Mailing Address - Phone:513-293-9120
Mailing Address - Fax:
Practice Address - Street 1:5642 SAFARI DR
Practice Address - Street 2:
Practice Address - City:LIBERTY TWP
Practice Address - State:OH
Practice Address - Zip Code:45044-8672
Practice Address - Country:US
Practice Address - Phone:513-293-9120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-05
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401306711011376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide