Okolo, Joseph M

Okolo, Joseph M is an individual health care provider with primary practice located at 700 W Forest Ave Ste 300, Jackson TN 38301-3937. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Okolo, Joseph M can be contacted via phone (731) 422-0330.

Contact Information

Primary practice address
700 W Forest Ave Ste 300 Jackson TN 38301-3937
Phone: (731) 422-0330
Fax: (731) 422-0409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 47713 Tennessee
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 47713 Tennessee

Profile Details

NPI number 1104871433
LBN Legal business name Okolo, Joseph M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Nov 29th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104871433 NPPES
Tennessee MEDICAID 1524823

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