Provider Demographics
NPI:1487529780
Name:SANOGO, CHAUNTELL MARIE (BS, MA)
Entity type:Individual
Prefix:MRS
First Name:CHAUNTELL
Middle Name:MARIE
Last Name:SANOGO
Suffix:
Gender:F
Credentials:BS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3303 BETTY CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-3101
Mailing Address - Country:US
Mailing Address - Phone:614-967-6075
Mailing Address - Fax:
Practice Address - Street 1:3303 BETTY CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-3101
Practice Address - Country:US
Practice Address - Phone:614-967-6075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide