Ajayi, Abimbola T
Ajayi, Abimbola T is an individual health care provider with primary practice located at 655 Walnut St , West Reading PA 19611-1242. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ajayi, Abimbola T can be contacted via phone (610) 372-9222.Contact Information
Primary practice address
655 Walnut St
West Reading PA 19611-1242
Phone: (610) 372-9222
Fax: (610) 372-0232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | L2079 | Texas |
Profile Details
| NPI number | 1407889041 |
|---|---|
| LBN Legal business name | Ajayi, Abimbola T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Jun 6th, 2011 - about 14 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 | 1407889041 | NPPES |
| Pennsylvania | MEDICAID | 102511442 |
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