Glenn Olajide, Tujuana C

Glenn Olajide, Tujuana C is an sole proprietor health care provider with primary practice located at 5404 Tree Summit Pkwy , Duluth GA 30096-8070. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Glenn Olajide, Tujuana C can be contacted via phone (678) 477-3397.

Contact Information

Primary practice address
5404 Tree Summit Pkwy Duluth GA 30096-8070
Phone: (678) 477-3397
Fax: (678) 417-9151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 4704180693 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 119695 Georgia

Profile Details

NPI number 1033155486
LBN Legal business name Glenn Olajide, Tujuana C
Credentials R.N., N.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2006
Last updated Mar 27th, 2013 - 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 1033155486 NPPES
Michigan Other 4704180693 LICENSE
Michigan MEDICAID 4868152 LICENSE

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