Okechuku, Theodore E

Okechuku, Theodore E is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Okechuku, Theodore E can be contacted via phone (601) 984-5900.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-5900
Fax: (601) 984-5939
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X L0888 Texas
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 20921 Mississippi

Profile Details

NPI number 1619910445
LBN Legal business name Okechuku, Theodore E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Aug 29th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619910445 NPPES
Mississippi Other 302I059809 MEDICARE PTAN
Mississippi MEDICAID 03128719 MEDICARE PTAN

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