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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790224079 NPPES
Michigan MEDICAID 1962808162

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