Ajibola, Olukemi
Ajibola, Olukemi is an individual health care provider with primary practice located at 10600 N Port Washington Rd Ste 200 , Mequon WI 53092-5084. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Ajibola, Olukemi can be contacted via phone (262) 240-3100.Contact Information
Primary practice address
10600 N Port Washington Rd Ste 200
Mequon WI 53092-5084
Phone: (262) 240-3100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 52375 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 7202-023 | Wisconsin |
Profile Details
| NPI number | 1285021121 |
|---|---|
| LBN Legal business name | Ajibola, Olukemi |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2015 |
| Last updated | Jun 23rd, 2023 - about 2 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 | 1285021121 | NPPES |
| Wisconsin | MEDICAID | 100227402 |
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