Sangoseni, Abiodun

Sangoseni, Abiodun is an individual health care provider with primary practice located at 17 Ginger Creek Mdws , Glen Carbon IL 62034-3508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sangoseni, Abiodun can be contacted via phone (800) 968-6866.

Contact Information

Primary practice address
17 Ginger Creek Mdws Glen Carbon IL 62034-3508
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1194710483
LBN Legal business name Sangoseni, Abiodun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Aug 7th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194710483 NPPES
Other 196690 BLUE CROSS BLUE SHIELD

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