Provider Demographics
NPI:1952428179
Name:ALAGBE, ROSY UCHE
Entity Type:Individual
Prefix:MRS
First Name:ROSY
Middle Name:UCHE
Last Name:ALAGBE
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ROSY
Other - Middle Name:UCHE
Other - Last Name:ALAGBE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2006 TWIN FLOWER CIR
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-8024
Mailing Address - Country:US
Mailing Address - Phone:614-875-7474
Mailing Address - Fax:
Practice Address - Street 1:2006 TWIN FLOWER CIR
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-8024
Practice Address - Country:US
Practice Address - Phone:614-875-7474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN118353164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2564274Medicaid