Ajiboye, Adeolu John

Ajiboye, Adeolu John is an individual health care provider with primary practice located at 725 Airport Rd , Lakewood NJ 08701-5968. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Ajiboye, Adeolu John can be contacted via phone (732) 458-1700.

Contact Information

Primary practice address
725 Airport Rd Lakewood NJ 08701-5968
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1588228969
LBN Legal business name Ajiboye, Adeolu John
Credentials RC
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2019
Last updated May 1st, 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 1588228969 NPPES
New Jersey MEDICAID 0029807

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