Dzakpasu, Promise

Dzakpasu, Promise is an individual health care provider with primary practice located at 4655 N Port Washington Rd Ste 200 , Glendale WI 53212-1076. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dzakpasu, Promise can be contacted via phone (414) 247-9530.

Contact Information

Primary practice address
4655 N Port Washington Rd Ste 200 Glendale WI 53212-1076
Phone: (414) 247-9530
Fax: (414) 247-1875
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36766 Wisconsin

Profile Details

NPI number 1881691418
LBN Legal business name Dzakpasu, Promise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Jul 21st, 2022 - about 4 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 1881691418 NPPES
Wisconsin MEDICAID 32159400

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