Ajagbe, Olukunle A

Ajagbe, Olukunle A is an individual health care provider with primary practice located at 212 Marion Ave , Mccomb MS 39648-2706. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Ajagbe, Olukunle A can be contacted via phone (601) 249-1570.

Contact Information

Primary practice address
212 Marion Ave Mccomb MS 39648-2706
Phone: (601) 249-1570
Fax: (601) 249-1544
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 19332 Mississippi
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 19332 Mississippi

Profile Details

NPI number 1982632063
LBN Legal business name Ajagbe, Olukunle A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jun 11th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982632063 NPPES
Mississippi MEDICAID 01783376

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