Balogun, Enisa

Balogun, Enisa is an individual health care provider with primary practice located at 1349 Macklind Ave Suite 200, St Louis MO 63110. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Balogun, Enisa can be contacted via phone (314) 648-7800.

Contact Information

Primary practice address
1349 Macklind Ave Suite 200 St Louis MO 63110
Phone: (314) 648-7800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2018038960 Missouri

Profile Details

NPI number 1013582196
LBN Legal business name Balogun, Enisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2021
Last updated May 21st, 2021 - about 5 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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