Provider Demographics
NPI:1669771671
Name:DANSO, STEPHEN NII
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:NII
Last Name:DANSO
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:PO BOX 2665
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82003-2665
Mailing Address - Country:US
Mailing Address - Phone:307-752-3105
Mailing Address - Fax:
Practice Address - Street 1:1111 E. LINCOLNWAY,
Practice Address - Street 2:EXECUTIVE PARK PLAZA, SUITE 109
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001
Practice Address - Country:US
Practice Address - Phone:307-752-3105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator