Okoroji, Basil Ikechukwu

Okoroji, Basil Ikechukwu is an individual health care provider with primary practice located at 1800 Mulberry St , Scranton PA 18510-2369. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Okoroji, Basil Ikechukwu can be contacted via phone (570) 703-8000.

Contact Information

Primary practice address
1800 Mulberry St Scranton PA 18510-2369
Phone: (570) 703-8000
Fax: (570) 703-8559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 15037 Mississippi
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036090763 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD054754L Pennsylvania

Profile Details

NPI number 1366486045
LBN Legal business name Okoroji, Basil Ikechukwu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Apr 24th, 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 1366486045 NPPES
Pennsylvania MEDICAID 1029385640001

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