Provider Demographics
NPI:1942681945
Name:SONNIE CONTEH
Entity Type:Organization
Organization Name:SONNIE CONTEH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:SONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CONTEH
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:703-622-9705
Mailing Address - Street 1:5803 LOU ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-2908
Mailing Address - Country:US
Mailing Address - Phone:703-622-9705
Mailing Address - Fax:
Practice Address - Street 1:5803 LOU ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-2908
Practice Address - Country:US
Practice Address - Phone:703-622-9705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-15
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH158252251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care