Abimbola, Olabamiji Kazeem

Abimbola, Olabamiji Kazeem is an individual health care provider with primary practice located at 4500 S Lancaster Rd , Dallas TX 75216-7167. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Abimbola, Olabamiji Kazeem can be contacted via phone (401) 365-0464.

Contact Information

Primary practice address
4500 S Lancaster Rd Dallas TX 75216-7167
Phone: (401) 365-0464
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA6600 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA6600 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA13372 Texas

Profile Details

NPI number 1619460938
LBN Legal business name Abimbola, Olabamiji Kazeem
Credentials DSC, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2018
Last updated Dec 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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