Agyekum, Paul A
Agyekum, Paul A is an individual health care provider with primary practice located at 13800 Livernois Ave , Detroit MI 48238-4510. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Agyekum, Paul A can be contacted via phone (313) 491-2200.Contact Information
Primary practice address
13800 Livernois Ave
Detroit MI 48238-4510
Phone: (313) 491-2200
Fax: (313) 491-2210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12292 | Michigan |
Profile Details
| NPI number | 1285688531 |
|---|---|
| LBN Legal business name | Agyekum, Paul A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1285688531 | NPPES |
| Michigan | MEDICAID | 3106916 | |
| Michigan | MEDICAID | 3130288 |
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