Ajibowo, Olalekan Henry

Ajibowo, Olalekan Henry is an individual health care provider with primary practice located at 413 Pottery Factory Dr , Commerce GA 30529-6682. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ajibowo, Olalekan Henry can be contacted via phone (706) 423-9449.

Contact Information

Primary practice address
413 Pottery Factory Dr Commerce GA 30529-6682
Phone: (706) 423-9449
Fax: (706) 423-9443
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 059896 Georgia
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 059896 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 059896 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 059896 Georgia

Profile Details

NPI number 1235320151
LBN Legal business name Ajibowo, Olalekan Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2007
Last updated Dec 12th, 2016 - about 10 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 1235320151 NPPES
Florida MEDICAID 012327700
Florida MEDICAID 029471605E
Florida MEDICAID 029471605K
Florida MEDICAID 029471605L
Florida MEDICAID 029471605M
Florida MEDICAID 029471605I
Florida MEDICAID 029471605C
Florida MEDICAID 029471605J

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