Okoro, Bonaventure C.

Okoro, Bonaventure C. is an individual health care provider with primary practice located at 5542 Airport Hwy , Toledo OH 43615-7304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Okoro, Bonaventure C. can be contacted via phone (734) 464-0887.

Contact Information

Primary practice address
5542 Airport Hwy Toledo OH 43615-7304
Phone: (734) 464-0887
Fax: (734) 402-0254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35-07-1648-O Ohio

Profile Details

NPI number 1043280563
LBN Legal business name Okoro, Bonaventure C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Aug 7th, 2014 - about 10 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 1043280563 NPPES
Ohio Other 5619197341A13 BLUECROSS BLUESHIELD
Ohio MEDICAID 2008482 BLUECROSS BLUESHIELD
Ohio Other 0824987 BLUECROSS BLUESHIELD

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