Matthew Ajayi, DO
Student in an Organized Health Care Education/Training Program in Jackson, MI. Individual provider (NPI-1).
NPI number1194570366
StatusActive
Last updated in NPPESApr 22, 2024
Details
- NPI
- 1194570366
- Entity type
- Individual (NPI-1)
- Name
- Matthew Ajayi
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 22, 2024
- Certification date
- Apr 22, 2024
- Last updated
- Apr 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
205 N East AveJackson, MI 49201-1753
Phone 517-205-4800
Mailing address
420 Adelphi St Apt DBrooklyn, NY 11238-1566
Phone 516-983-1606
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