Agbaje, Ismailu O
Agbaje, Ismailu O is an individual health care provider with primary practice located at 2101 Newnan Crossing Blvd E , Newnan GA 30265-2406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Agbaje, Ismailu O can be contacted via phone (812) 272-4497.Contact Information
Primary practice address
2101 Newnan Crossing Blvd E
Newnan GA 30265-2406
Phone: (812) 272-4497
Fax: (419) 828-8218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 72872 | Georgia |
Profile Details
| NPI number | 1336190776 |
|---|---|
| LBN Legal business name | Agbaje, Ismailu O |
| Credentials | PHD MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Oct 8th, 2020 - about 4 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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