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Contact Information

ABISOLA E ABIMBOLA
7334 S LINDBERGH BLVD
SAINT LOUIS, MO63125-4522
 Phone: 866-389-2727
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for ABISOLA E ABIMBOLA · (Female)

NPI # 1083440457
Status Active
Credentials
Entity Individual
Enumeration date 09/11/2024
Last updated 12/11/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 041.447832
  • IL License # 209.030308
  • MO License # 2024037599
  • MO License # 2024039031
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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