Okimoto, Summer Joy

Okimoto, Summer Joy is an individual health care provider with primary practice located at 360 Dogwood Trl Se , Marietta GA 30067-4653. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Okimoto, Summer Joy can be contacted via phone (817) 808-3379.

Contact Information

Primary practice address
360 Dogwood Trl Se Marietta GA 30067-4653
Phone: (817) 808-3379
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP119151 Texas
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 0990974 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN315907 Georgia

Profile Details

NPI number 1710299862
LBN Legal business name Okimoto, Summer Joy
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2010
Last updated Aug 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710299862 NPPES
Texas MEDICAID 217492201
Texas Other 828N92

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