Okotie, Fidelis Ajobome
Okotie, Fidelis Ajobome is an individual health care provider with primary practice located at 2555 Jimmy Johnson Boulevard , Port Arthur TX 77640-2007. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Okotie, Fidelis Ajobome can be contacted via phone (409) 853-5086.Contact Information
Primary practice address
2555 Jimmy Johnson Boulevard
Port Arthur TX 77640-2007
Phone: (409) 853-5086
Fax: (409) 853-5084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | N8962 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2015-00495 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD38814 | South Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD.207776 | Louisiana |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | N8962 | Texas |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 0434428 | Kansas |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2015-00495 | North Carolina |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD.207776 | Louisiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 70415 | Wisconsin |
Profile Details
| NPI number | 1376856039 |
|---|---|
| LBN Legal business name | Okotie, Fidelis Ajobome |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2010 |
| Last updated | Jan 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376856039 | NPPES |
| Wisconsin | MEDICAID | 100136014 |
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