Okoye, Samuel Chinwuba
Okoye, Samuel Chinwuba is an sole proprietor health care provider with primary practice located at 5429 Robinson Road Ext , Jackson MS 39204-4138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Okoye, Samuel Chinwuba can be contacted via phone (601) 914-0163.Contact Information
Primary practice address
5429 Robinson Road Ext
Jackson MS 39204-4138
Phone: (601) 914-0163
Fax: (601) 914-0170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 13321 | Mississippi |
Profile Details
| NPI number | 1851380273 |
|---|---|
| LBN Legal business name | Okoye, Samuel Chinwuba |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Nov 19th, 2010 - about 16 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 | 1851380273 | NPPES |
| Mississippi | MEDICAID | 00116178 |
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