Aderibigbe, Modupe Adedamola

Aderibigbe, Modupe Adedamola is an individual health care provider with primary practice located at 5471 Dr Martin Luther King Dr , Saint Louis MO 63112-4265. She recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Aderibigbe, Modupe Adedamola can be contacted via phone (314) 367-5820.

Contact Information

Primary practice address
5471 Dr Martin Luther King Dr Saint Louis MO 63112-4265
Phone: (314) 367-5820
Fax: (314) 367-7010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 5901002232 Michigan
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901002232 Michigan
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016005470 Illinois
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 2011018632 Missouri

Profile Details

NPI number 1407092927
LBN Legal business name Aderibigbe, Modupe Adedamola
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2009
Last updated Apr 1st, 2014 - about 12 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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