Provider Demographics
NPI:1699073817
Name:NKANSAH, ERIC SARPONG
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:SARPONG
Last Name:NKANSAH
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 1:814 ARTHUR SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-8771
Mailing Address - Country:US
Mailing Address - Phone:610-453-2423
Mailing Address - Fax:
Practice Address - Street 1:814 ARTHUR SPRINGS LN
Practice Address - Street 2:
Practice Address - City:NEWCASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720
Practice Address - Country:US
Practice Address - Phone:610-453-2423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-11
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0003637183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
440134OtherLICENSE