Okolo, Joseph M
Okolo, Joseph M is an individual health care provider with primary practice located at 700 W Forest Ave Ste 300, Jackson TN 38301-3937. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Okolo, Joseph M can be contacted via phone (731) 422-0330.Contact Information
Primary practice address
700 W Forest Ave Ste 300
Jackson TN 38301-3937
Phone: (731) 422-0330
Fax: (731) 422-0409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 47713 | Tennessee |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 47713 | Tennessee |
Profile Details
| NPI number | 1104871433 |
|---|---|
| LBN Legal business name | Okolo, Joseph M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Nov 29th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104871433 | NPPES |
| Tennessee | MEDICAID | 1524823 |
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