Healthcare Provider Details

I. General information

NPI: 1083537930
Provider Name (Legal Business Name): ISAAC AFOAKWA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4326 TRENTON DR
BISMARCK ND
58503-1167
US

IV. Provider business mailing address

4326 TRENTON DR
BISMARCK ND
58503-1167
US

V. Phone/Fax

Practice location:
  • Phone: 614-732-7971
  • Fax: 701-425-0446
Mailing address:
  • Phone: 614-732-7971
  • Fax: 701-425-0446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License NumberAFO709790
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: