Provider Demographics
NPI:1639512353
Name:BOAFO, FRANK FRIMPONG
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:FRIMPONG
Last Name:BOAFO
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 1:853 OAK FOREST DR
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:OH
Mailing Address - Zip Code:45152-7914
Mailing Address - Country:US
Mailing Address - Phone:513-253-6658
Mailing Address - Fax:
Practice Address - Street 1:853 OAK FOREST DR
Practice Address - Street 2:
Practice Address - City:MORROW
Practice Address - State:OH
Practice Address - Zip Code:45152-7914
Practice Address - Country:US
Practice Address - Phone:513-253-6658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-11
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401419930712390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program