Bruce Mensah, Kofi
Bruce Mensah, Kofi is an sole proprietor health care provider with primary practice located at 851 Durham Road Suite D, Wake Forest NC 27587-8793. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bruce Mensah, Kofi can be contacted via phone (919) 554-0900.Contact Information
Primary practice address
851 Durham Road Suite D
Wake Forest NC 27587-8793
Phone: (919) 554-0900
Fax: (336) 784-1116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01429 | North Carolina |
Profile Details
| NPI number | 1457335242 |
|---|---|
| LBN Legal business name | Bruce Mensah, Kofi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Aug 15th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457335242 | NPPES |
| Other | P00247762 | RR MEDICARE IND | |
| Other | 2333540 | RR MEDICARE IND | |
| Other | DD7390 | RR MEDICARE IND | |
| MEDICAID | 891301P | RR MEDICARE IND |
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