Aysola, Agnes Elizabeth
Aysola, Agnes Elizabeth is an individual health care provider with primary practice located at 655 W 8Th St Ufjp Pathology Dept., Jacksonville FL 32209-6511. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Aysola, Agnes Elizabeth can be contacted via phone (904) 244-4387.Contact Information
Primary practice address
655 W 8Th St Ufjp Pathology Dept.
Jacksonville FL 32209-6511
Phone: (904) 244-4387
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine | 207ZB0001X | 42392 | Minnesota |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 42392 | Minnesota |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | ME103131 | Florida |
| Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine | 207ZB0001X | ME103131 | Florida |
Profile Details
| NPI number | 1689618811 |
|---|---|
| LBN Legal business name | Aysola, Agnes Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Jun 10th, 2009 - about 15 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 | 1689618811 | NPPES |
| Minnesota | Other | 258A6AY | BCBS |
| Minnesota | Other | 1692251 | BCBS |
| Minnesota | MEDICAID | 0005352-00 | BCBS |
| Minnesota | MEDICAID | 313506441A | BCBS |
| Minnesota | Other | HP38358 | BCBS |
| Minnesota | MEDICAID | 0559724 | BCBS |
| Minnesota | MEDICAID | 34309100 | BCBS |
| Minnesota | Other | 1032020 | BCBS |
| Minnesota | Other | 11-00245 | BCBS |
| Minnesota | Other | 11-00014 | BCBS |
| Minnesota | MEDICAID | 587447500 | BCBS |
| Minnesota | Other | 1032019 | BCBS |
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