Provider Demographics
NPI:1104515006
Name:OGUNLANA, OLUFEMI I (SOLE PROPRIETOR)
Entity type:Individual
Prefix:MR
First Name:OLUFEMI
Middle Name:
Last Name:OGUNLANA
Suffix:I
Gender:M
Credentials:SOLE PROPRIETOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1087 GELBRAY DR
Mailing Address - Street 2:
Mailing Address - City:OBETZ
Mailing Address - State:OH
Mailing Address - Zip Code:43207-4998
Mailing Address - Country:US
Mailing Address - Phone:614-230-5700
Mailing Address - Fax:
Practice Address - Street 1:1087 GELBRAY DR
Practice Address - Street 2:
Practice Address - City:OBETZ
Practice Address - State:OH
Practice Address - Zip Code:43207-4998
Practice Address - Country:US
Practice Address - Phone:614-230-5700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-05
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.500890163WH0200X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health