Okechuku, Theodore E
Okechuku, Theodore E is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Okechuku, Theodore E can be contacted via phone (601) 984-5900.Contact Information
Primary practice address
2500 N State St
Jackson MS 39216-4500
Phone: (601) 984-5900
Fax: (601) 984-5939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | L0888 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 20921 | Mississippi |
Profile Details
| NPI number | 1619910445 |
|---|---|
| LBN Legal business name | Okechuku, Theodore E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Aug 29th, 2013 - about 12 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 | 1619910445 | NPPES |
| Mississippi | Other | 302I059809 | MEDICARE PTAN |
| Mississippi | MEDICAID | 03128719 | MEDICARE PTAN |
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