Okungbowa, Osaretin Daniel
Okungbowa, Osaretin Daniel is an sole proprietor health care provider with primary practice located at 23 Lester Rd , Statesboro GA 30458-4700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Okungbowa, Osaretin Daniel can be contacted via phone (912) 225-1836.Contact Information
Primary practice address
23 Lester Rd
Statesboro GA 30458-4700
Phone: (912) 225-1836
Fax: (912) 225-0645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD2009-0144 | New Mexico |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 62926 | Georgia |
Profile Details
| NPI number | 1740474154 |
|---|---|
| LBN Legal business name | Okungbowa, Osaretin Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2007 |
| Last updated | Jan 20th, 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 | 1740474154 | NPPES |
| Georgia | MEDICAID | 420313629A |
Popular Providers
-
Deloach, Brian Mixon
658 Northside Dr E Ste A , Statesboro GA 30458-4828 -
Branch, Carla S.
658 Northside Dr E Ste A, Statesboro GA 30458-4828 -
Gerguis, Angela Sellers
1203 Brampton Ave Suite A, Statesboro GA 30458-0850 -
Benson, Robert Moore
4451 Country Club Rd Suite 3A, Statesboro GA 30458-9188 -
Purvis, Henry Kevin
658 Northside Dr E Ste A, Statesboro GA 30458-4828 -
Pittman, Leslie A
16741 Hwy 67 Suite A, Statesboro GA 30458 -
Dega, Sreevalli
1570 Brampton Ave , Statesboro GA 30458-0855 -
Gerguis, John S
1203 Brampton Ave , Statesboro GA 30458-0850