Okungbowa, Osaretin Daniel
Okungbowa, Osaretin Daniel is an sole proprietor health care provider with primary practice located at 23 Lester Rd , Statesboro GA 30458-4700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Okungbowa, Osaretin Daniel can be contacted via phone (912) 225-1836.Contact Information
Primary practice address
23 Lester Rd
Statesboro GA 30458-4700
Phone: (912) 225-1836
Fax: (912) 225-0645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD2009-0144 | New Mexico |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 62926 | Georgia |
Profile Details
| NPI number | 1740474154 |
|---|---|
| LBN Legal business name | Okungbowa, Osaretin Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2007 |
| Last updated | Jan 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740474154 | NPPES |
| Georgia | MEDICAID | 420313629A |
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