Dzubey, Kenneth Cudjoe
Dzubey, Kenneth Cudjoe is an sole proprietor health care provider with primary practice located at 5959 Gateway Blvd W Ste 244, El Paso TX 79925-3316. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dzubey, Kenneth Cudjoe can be contacted via phone (915) 779-0676.Contact Information
Primary practice address
5959 Gateway Blvd W Ste 244
El Paso TX 79925-3316
Phone: (915) 779-0676
Fax: (915) 779-2534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3627TG | Texas |
Profile Details
| NPI number | 1730172206 |
|---|---|
| LBN Legal business name | Dzubey, Kenneth Cudjoe |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Jan 7th, 2019 - about 6 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 | 1730172206 | NPPES |
| Texas | MEDICAID | 121652504 | |
| Texas | MEDICAID | 121652501 |
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