Provider Demographics
NPI:1922990407
Name:FORLEH, DIXON ALFRED FAYIAH
Entity type:Individual
Prefix:
First Name:DIXON ALFRED
Middle Name:FAYIAH
Last Name:FORLEH
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 1:2143 RIVERDALE SQ E
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-4055
Mailing Address - Country:US
Mailing Address - Phone:614-632-2833
Mailing Address - Fax:
Practice Address - Street 1:2143 RIVERDALE SQ E
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-4055
Practice Address - Country:US
Practice Address - Phone:614-632-2833
Practice Address - Fax:614-632-2833
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker