Provider Demographics
NPI:1528748837
Name:BADU ACHEAMPONG, WOFA
Entity type:Individual
Prefix:
First Name:WOFA
Middle Name:
Last Name:BADU ACHEAMPONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7526 MANISTIQUE DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-7451
Mailing Address - Country:US
Mailing Address - Phone:719-232-9954
Mailing Address - Fax:
Practice Address - Street 1:7526 MANISTIQUE DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-7451
Practice Address - Country:US
Practice Address - Phone:719-232-9954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)