Ganiyu, Bamidele

Ganiyu, Bamidele is an individual health care provider with primary practice located at 2101 Corona Rd Ste 102 , Columbia MO 65203-2582. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Ganiyu, Bamidele can be contacted via phone (573) 234-1800.

Contact Information

Primary practice address
2101 Corona Rd Ste 102 Columbia MO 65203-2582
Phone: (573) 234-1800
Fax: (573) 234-1799
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2020002143 Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2020002143 Missouri

Profile Details

NPI number 1073155933
LBN Legal business name Ganiyu, Bamidele
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2019
Last updated May 29th, 2024 - about 2 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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