Ajo, Donna M
Ajo, Donna M is an individual health care provider with primary practice located at 300 Medical Pavilion Dr Ste 150 , Raeford NC 28376-0030. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Ajo, Donna M can be contacted via phone (910) 904-8025.Contact Information
Primary practice address
300 Medical Pavilion Dr Ste 150
Raeford NC 28376-0030
Phone: (910) 904-8025
Fax: (910) 615-9751
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0110002353 | Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-00988 | North Carolina |
Profile Details
NPI number | 1174629414 |
---|---|
LBN Legal business name | Ajo, Donna M |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 15th, 2006 |
Last updated | Jul 21st, 2022 - about 3 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 | 1174629414 | NPPES |
Virginia | Other | 0110002353 | LICINCE |
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