Gomih, Ayoola K

Gomih, Ayoola K is an sole proprietor health care provider with primary practice located at 398 W 80Th Pl , Merrillville IN 46410-5432. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gomih, Ayoola K can be contacted via phone (219) 791-0615.

Contact Information

Primary practice address
398 W 80Th Pl Merrillville IN 46410-5432
Fax: (219) 791-0619
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01032453B Indiana

Profile Details

NPI number 1831117522
LBN Legal business name Gomih, Ayoola K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Oct 3rd, 2012 - about 13 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 1831117522 NPPES
Indiana MEDICAID 100169870A

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