Dzodzomenyo, Samuel Kwami

Dzodzomenyo, Samuel Kwami is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1815. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Dzodzomenyo, Samuel Kwami can be contacted via phone (937) 641-4000.

Contact Information

Primary practice address
1 Childrens Plz Dayton OH 45404-1815
Phone: (937) 641-4000
Fax: (937) 641-4500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35070439 Ohio
Allopathic & Osteopathic Physicians / Sleep Medicine 2080S0012X 35.070439 Ohio

Profile Details

NPI number 1407857063
LBN Legal business name Dzodzomenyo, Samuel Kwami
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2005
Last updated Oct 10th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407857063 NPPES
Kentucky MEDICAID 64086143
Kentucky MEDICAID 0249270

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