Ajise, Alfred Godwin

Ajise, Alfred Godwin is an individual health care provider with primary practice located at 90 Melrose Ave , Natchitoches LA 71457-5926. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Ajise, Alfred Godwin can be contacted via phone (318) 238-3820.

Contact Information

Primary practice address
90 Melrose Ave Natchitoches LA 71457-5926
Fax: (318) 238-3823
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 324090 Louisiana

Profile Details

NPI number 1164742268
LBN Legal business name Ajise, Alfred Godwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2010
Last updated Aug 3rd, 2021 - about 4 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 1164742268 NPPES
Louisiana MEDICAID 2538501

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