Bamimore, Ayotunde Mark
Bamimore, Ayotunde Mark is an individual health care provider with primary practice located at 400 1St Capitol Dr Ste 401 , Saint Charles MO 63301-2886. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Bamimore, Ayotunde Mark can be contacted via phone (636) 669-2220.Contact Information
Primary practice address
400 1St Capitol Dr Ste 401
Saint Charles MO 63301-2886
Phone: (636) 669-2220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2012-00809 | North Carolina |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2013027460 | Missouri |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 2013027460 | Missouri |
Profile Details
| NPI number | 1558546515 |
|---|---|
| LBN Legal business name | Bamimore, Ayotunde Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2008 |
| Last updated | Oct 20th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558546515 | NPPES |
| North Carolina | MEDICAID | 5920619 |
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