Osobamiro, Abimbola Modupe

Osobamiro, Abimbola Modupe is an individual health care provider with primary practice located at 133 S Main St , Mount Clemens MI 48043-2308. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Osobamiro, Abimbola Modupe can be contacted via phone (586) 468-1600.

Contact Information

Primary practice address
133 S Main St Mount Clemens MI 48043-2308
Phone: (586) 468-1600
Fax: (586) 465-0329
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301063170 Michigan

Profile Details

NPI number 1356335418
LBN Legal business name Osobamiro, Abimbola Modupe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jul 25th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1356335418 NPPES
Michigan MEDICAID 4846450
Michigan Other 70-0-F32947-0
Michigan Other AO063170
Michigan Other 1356335418

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