Provider Demographics
NPI:1417846973
Name:HOUESSOU, ASSIKO VIGNON
Entity type:Individual
Prefix:
First Name:ASSIKO
Middle Name:VIGNON
Last Name:HOUESSOU
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 1:21213 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-4126
Mailing Address - Country:US
Mailing Address - Phone:402-637-3901
Mailing Address - Fax:
Practice Address - Street 1:21213 ADAMS ST
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-4126
Practice Address - Country:US
Practice Address - Phone:402-637-3901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide