Provider Demographics
NPI:1699190322
Name:APPIAH-BAAH, DICKSON (LPN)
Entity Type:Individual
Prefix:MR
First Name:DICKSON
Middle Name:
Last Name:APPIAH-BAAH
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 1:505 RENE CT
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-4933
Mailing Address - Country:US
Mailing Address - Phone:614-596-2774
Mailing Address - Fax:
Practice Address - Street 1:505 RENE CT
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-4933
Practice Address - Country:US
Practice Address - Phone:614-596-2774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-05
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.129750-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse