Sam, Akua Amponsah

Sam, Akua Amponsah is an individual health care provider with primary practice located at 80 Phoenix Ave , Waterbury CT 06702-1418. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Sam, Akua Amponsah can be contacted via phone (203) 756-8021.

Contact Information

Primary practice address
80 Phoenix Ave Waterbury CT 06702-1418
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036450 Connecticut

Profile Details

NPI number 1568454635
LBN Legal business name Sam, Akua Amponsah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated May 3rd, 2011 - about 15 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 1568454635 NPPES
Connecticut MEDICAID 001364504

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