Bukassa, Joseph

Bukassa, Joseph is an individual health care provider with primary practice located at 207 W College St , Lewisville TX 75057-3855. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Bukassa, Joseph can be contacted via phone (972) 803-7272.

Contact Information

Primary practice address
207 W College St Lewisville TX 75057-3855
Phone: (972) 803-7272
Fax: (972) 221-9305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X Texas

Profile Details

NPI number 1093172413
LBN Legal business name Bukassa, Joseph
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2016
Last updated Jan 15th, 2016 - about 10 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 1093172413 NPPES
Texas MEDICAID TRANSPORTATION

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