Okewole, Simon Olalekan
Okewole, Simon Olalekan is an individual health care provider with primary practice located at 17 Centre Plaza Dr , Jackson TN 38305-2862. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Okewole, Simon Olalekan can be contacted via phone (731) 512-0104.Contact Information
Primary practice address
17 Centre Plaza Dr
Jackson TN 38305-2862
Phone: (731) 512-0104
Fax: (731) 668-7388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2572 | Tennessee |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 2572 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MB08388000 | New Jersey |
Profile Details
| NPI number | 1205000296 |
|---|---|
| LBN Legal business name | Okewole, Simon Olalekan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2008 |
| Last updated | Oct 30th, 2023 - about last year |
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 | 1205000296 | NPPES |
| Tennessee | Other | 2572 | STATE LICENSE |
| Tennessee | Other | 1396033379 | STATE LICENSE |
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