Provider Demographics
NPI:1891271268
Name:BAAH, ESTHER ASANTE (N/A)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:ASANTE
Last Name:BAAH
Suffix:
Gender:F
Credentials:N/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 WALFORD LN APT 308
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-1437
Mailing Address - Country:US
Mailing Address - Phone:614-680-1700
Mailing Address - Fax:
Practice Address - Street 1:2200 WALFORD LN APT 308
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-1437
Practice Address - Country:US
Practice Address - Phone:614-680-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-18
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH402082300618376K00000X
246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy