Fordjour, Kusi
Fordjour, Kusi is an sole proprietor health care provider with primary practice located at 2505 Bolton Boone Dr Ste 101, Desoto TX 75115-2096. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fordjour, Kusi can be contacted via phone (972) 283-9100.Contact Information
Primary practice address
2505 Bolton Boone Dr Ste 101
Desoto TX 75115-2096
Phone: (972) 283-9100
Fax: (972) 283-9104
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L0177 | Texas |
Profile Details
| NPI number | 1780623074 |
|---|---|
| LBN Legal business name | Fordjour, Kusi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Jul 20th, 2012 - about 12 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 | 1780623074 | NPPES |
| Texas | Other | L0177 | STATE LICENSE |
| Texas | Other | 0098MT | STATE LICENSE |
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