Okorie, Bertram I
Okorie, Bertram I is an individual health care provider with primary practice located at 1301 S. Crismon Road , Mesa AZ 85209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Okorie, Bertram I can be contacted via phone (480) 358-6300.Contact Information
Primary practice address
1301 S. Crismon Road
Mesa AZ 85209
Phone: (480) 358-6300
Fax: (480) 358-6306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 18431 | Arizona |
Profile Details
| NPI number | 1619952587 |
|---|---|
| LBN Legal business name | Okorie, Bertram I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Oct 22nd, 2011 - 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 | 1619952587 | NPPES |
| Arizona | MEDICAID | 135534 |
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