Healthcare Provider Details

I. General information

NPI: 1215841747
Provider Name (Legal Business Name): ABIGAIL EILEEN CAFAZZA HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CHESTERFIELD BUSINESS PKWY STE 200
CHESTERFIELD MO
63005-1271
US

IV. Provider business mailing address

100 CHESTERFIELD BUSINESS PKWY STE 200
CHESTERFIELD MO
63005-1271
US

V. Phone/Fax

Practice location:
  • Phone: 314-756-4411
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2025037379
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: