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:
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Health care specialties

SpecialtyCodeLicense #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 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 1174629414 NPPES
Virginia Other 0110002353 LICINCE

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