Healthcare Provider Details

I. General information

NPI: 1457708570
Provider Name (Legal Business Name): WILLIAM OBENG ASARE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2016
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 MODER DR
MONROE OH
45050-1540
US

IV. Provider business mailing address

275 MODER DR
MONROE OH
45050-1540
US

V. Phone/Fax

Practice location:
  • Phone: 513-282-5718
  • Fax:
Mailing address:
  • Phone: 513-282-5718
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number425637
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: