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
Fax: (972) 283-9104
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780623074 NPPES
Texas Other L0177 STATE LICENSE
Texas Other 0098MT STATE LICENSE

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