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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205000296 NPPES
Tennessee Other 2572 STATE LICENSE
Tennessee Other 1396033379 STATE LICENSE

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