Ajibulu, Adetokunbo

Ajibulu, Adetokunbo is an individual health care provider with primary practice located at 11949 Union Tpke Apt # 5D, Forest Hills NY 11375-6151. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Ajibulu, Adetokunbo can be contacted via phone (646) 321-6197.

Contact Information

Primary practice address
11949 Union Tpke Apt # 5D Forest Hills NY 11375-6151
Phone: (646) 321-6197
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 010505 New York
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Virginia

Profile Details

NPI number 1912919044
LBN Legal business name Ajibulu, Adetokunbo
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Feb 1st, 2008 - about 16 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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