Okokon, Enid A

Okokon, Enid A is an individual health care provider with primary practice located at 2555 N Martin Luther King Dr Milwaukee Health Services, Inc., Milwaukee WI 53212-2709. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Okokon, Enid A can be contacted via phone (414) 372-8080.

Contact Information

Primary practice address
2555 N Martin Luther King Dr Milwaukee Health Services, Inc. Milwaukee WI 53212-2709
Phone: (414) 372-8080
Fax: (414) 562-8078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 28040 Wisconsin

Profile Details

NPI number 1679569289
LBN Legal business name Okokon, Enid A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Sep 7th, 2016 - about 10 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 1679569289 NPPES
Wisconsin MEDICAID 30775400
Wisconsin Other K400147269

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