Provider Demographics
NPI:1851602593
Name:JANUARY, EBONI CHRISTINA (MD)
Entity type:Individual
Prefix:DR
First Name:EBONI
Middle Name:CHRISTINA
Last Name:JANUARY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 MORRISON AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63104-3537
Mailing Address - Country:US
Mailing Address - Phone:573-268-4830
Mailing Address - Fax:
Practice Address - Street 1:50 LEROY ST
Practice Address - Street 2:
Practice Address - City:POTSDAM
Practice Address - State:NY
Practice Address - Zip Code:13676-1799
Practice Address - Country:US
Practice Address - Phone:315-265-3300
Practice Address - Fax:315-261-6410
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT9136207V00000X
WI3551-320207V00000X
AZ73007207V00000X
MDD0099074207V00000X
GA91849207V00000X
CT64605207V00000X
FLME143577207V00000X
DCMD210001911207V00000X
IL036150150207V00000X
CAC184151207V00000X
NC2023-00015207V00000X
VA0101280447207V00000X
MO2014012421207V00000X
NY300032207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology