Individual
MR. FIDELIS U OKORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CEO/OWNER
Contact information
Practice address
7240 CROWDER BLVD STE 300I, NEW ORLEANS, LA 70127-1923
(504) 914-1248
(985) 605-7207
Mailing address
1605 ELLINGSWORTH DR, SLIDELL, LA 70461-4550
(504) 914-1248
(986) 605-7207
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
A827500
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007848835
—
LA
05
—
822675605
—
LA
Enumeration date
10/16/2017
Last updated
06/16/2018
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