Aiyenowo, Joseph O
Aiyenowo, Joseph O is an individual health care provider with primary practice located at 825 Se Bishop Blvd Ste 200 , Pullman WA 99163-5537. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Aiyenowo, Joseph O can be contacted via phone (509) 332-2517.Contact Information
Primary practice address
825 Se Bishop Blvd Ste 200
Pullman WA 99163-5537
Phone: (509) 332-2517
Fax: (509) 334-9247
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD60992612 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD60992612 | Washington |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 04-27421 | Kansas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0427421 | Kansas |
Profile Details
| NPI number | 1598792657 |
|---|---|
| LBN Legal business name | Aiyenowo, Joseph O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Jun 25th, 2024 - 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 | 1598792657 | NPPES |
| Kansas | MEDICAID | 100381040C |
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