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Contact Information

VIDA ADUSEI POKU
3330 BOURBON ST STE 108
FREDERICKSBURG, VA22408-7333
 Phone: 703-987-5052
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-emergency Medical Transport (VAN)

343900000X
Indicates primary specialty

NPI Profile & details for VIDA ADUSEI POKU · (Female)

NPI Number 1982075974
Status Active
Credentials
Entity Individual
Enumeration date 10/15/2015
Last updated 10/15/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # HCO-151153
  • VA Medicaid 1821487950
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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