Provider Demographics
NPI:1881488328
Name:ESSIEN, BELTUS
Entity type:Individual
Prefix:
First Name:BELTUS
Middle Name:
Last Name:ESSIEN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6319 LANDOVER RD APT T4
Mailing Address - Street 2:
Mailing Address - City:CHEVERLY
Mailing Address - State:MD
Mailing Address - Zip Code:20785-1320
Mailing Address - Country:US
Mailing Address - Phone:330-808-3582
Mailing Address - Fax:
Practice Address - Street 1:6319 LANDOVER RD APT T4
Practice Address - Street 2:
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785-1320
Practice Address - Country:US
Practice Address - Phone:330-808-3582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker