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Contact Information

AYO K BANKOLE, ND, PA
314 N MOUNTAIN AVE
UPLAND, CA91786
 Phone: 909-981-9200
 Fax: 909-982-9220
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Naturopath

175F00000X
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AYO K BANKOLE · (Male)

NPI Number 1578577672
Status Active
Credentials ND, PA
Entity Individual
Enumeration date 07/27/2006
Last updated 11/11/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 14919
  • CA License # ND-161
  • CA License # PA-14919
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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