Individual
MR. OLAYINKA OLUSOLA AINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
154 ELLIOTT AVE, PEEBLES, OH 45660
(937) 587-2618
(937) 587-2288
Mailing address
154 ELLIOTT AVE, PEEBLES, OH 45660
(937) 587-2618
(937) 587-2288
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35063874
OH
207P00000X
Emergency Medicine Physician
56256
KY
207R00000X
Internal Medicine Physician
35063874
OH
207R00000X
Internal Medicine Physician
Primary
56256
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000039091
ANTHEM
—
05
—
0919939
—
OH
01
—
31142259400
BWC
—
05
—
64953763
—
KY
Enumeration date
01/30/2006
Last updated
01/14/2022
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