Babalola, Ebenezer O
Babalola, Ebenezer O is an individual health care provider with primary practice located at 811 W Interstate 20 Ste 114 , Arlington TX 76017-5871. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Babalola, Ebenezer O can be contacted via phone (817) 784-8268.Contact Information
Primary practice address
811 W Interstate 20 Ste 114
Arlington TX 76017-5871
Phone: (817) 784-8268
Fax: (817) 804-8178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 277987 | New York |
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | 277987 | New York |
Profile Details
| NPI number | 1780655175 |
|---|---|
| LBN Legal business name | Babalola, Ebenezer O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Oct 18th, 2019 - about 7 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 | 1780655175 | NPPES |
| Minnesota | MEDICAID | 080950100 | |
| Minnesota | MEDICAID | 200613020A |
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