Healthcare Provider Details

I. General information

NPI: 1952125312
Provider Name (Legal Business Name): EMMANUEL USUAH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2024
Last Update Date: 11/12/2024
Certification Date: 11/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

262 CHAPMAN RD STE 234
NEWARK DE
19702-5448
US

IV. Provider business mailing address

262 CHAPMAN RD STE 234
NEWARK DE
19702-5448
US

V. Phone/Fax

Practice location:
  • Phone: 302-339-2258
  • Fax:
Mailing address:
  • Phone: 302-339-2258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: