Ajide, Jennifer

Ajide, Jennifer is an individual health care provider with primary practice located at 192 N Main St , Fond Du Lac WI 54935-3462. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Ajide, Jennifer can be contacted via phone (920) 921-5264.

Contact Information

Primary practice address
192 N Main St Fond Du Lac WI 54935-3462
Phone: (920) 921-5264
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 1872840 Wisconsin
Pharmacy Service Providers / Pharmacist 183500000X 05100007 Illinois

Profile Details

NPI number 1528692159
LBN Legal business name Ajide, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2020
Last updated Feb 22nd, 2020 - 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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