Individual provider · NPI-1

Nicholas Sarkodie Acheampong, IDC

Military Health Care Provider, Independent Duty Corpsman · San Diego, CA

NPI number1558600718

StatusActive

Last updated in NPPESFeb 7, 2013

Details

NPI: 1558600718
Entity type: Individual (NPI-1)
Name: Mr. Nicholas Sarkodie Acheampong
Credential: IDC
Sex: Male
Sole proprietor: Yes
Enumeration date: Feb 7, 2013
Last updated: Feb 7, 2013

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1710I1002X	Military Health Care Provider, Independent Duty Corpsman	–	–	Yes

Practice location

3502 Attu Rd
.Bldg 806
San Diego, CA 92155-5506

Phone 619-522-7650

Mailing address

3502 Attu Rd
.Bldg 806
San Diego, CA 92155-5506

Phone 619-522-7650

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.