Provider Demographics
NPI:1629707336
Name:OSEI, ENOCH (CPCT-A)
Entity Type:Individual
Prefix:MR
First Name:ENOCH
Middle Name:
Last Name:OSEI
Suffix:
Gender:M
Credentials:CPCT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 DOCENA CT
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20886-4233
Mailing Address - Country:US
Mailing Address - Phone:202-706-8256
Mailing Address - Fax:
Practice Address - Street 1:10 DOCENA CT
Practice Address - Street 2:
Practice Address - City:MONTGOMERY VILLAGE
Practice Address - State:MD
Practice Address - Zip Code:20886-4233
Practice Address - Country:US
Practice Address - Phone:202-706-8256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-08
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
C7N6Q3M7376K00000X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No376K00000XNursing Service Related ProvidersNurse's Aide