Provider Demographics
NPI:1912336439
Name:AKINSEYE, CHARLES AKINLOWU
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:AKINLOWU
Last Name:AKINSEYE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7008 E FOREST RD
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4901
Mailing Address - Country:US
Mailing Address - Phone:301-768-8953
Mailing Address - Fax:
Practice Address - Street 1:7008 E FOREST RD
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-4901
Practice Address - Country:US
Practice Address - Phone:301-768-8953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide