Ajumobi, Ifeyinwa
Ajumobi, Ifeyinwa is an individual health care provider with primary practice located at 100 Brewster Blvd , Camp Lejeune NC 28547-2575. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ajumobi, Ifeyinwa can be contacted via phone (910) 450-4840.Contact Information
Primary practice address
100 Brewster Blvd
Camp Lejeune NC 28547-2575
Phone: (910) 450-4840
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601008133 | Michigan |
Profile Details
NPI number | 1790224079 |
---|---|
LBN Legal business name | Ajumobi, Ifeyinwa |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 20th, 2017 |
Last updated | Feb 13th, 2024 - about last year |
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 | 1790224079 | NPPES |
Michigan | MEDICAID | 1962808162 |
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