Provider Demographics
NPI:1215273693
Name:OGUNSEYIN, SOLOMON TAYO (LPN)
Entity type:Individual
Prefix:
First Name:SOLOMON
Middle Name:TAYO
Last Name:OGUNSEYIN
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4906 BRITTANY CT E
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-5703
Mailing Address - Country:US
Mailing Address - Phone:614-327-0887
Mailing Address - Fax:614-327-0887
Practice Address - Street 1:4906 BRITTANY CT E
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-5703
Practice Address - Country:US
Practice Address - Phone:614-327-0887
Practice Address - Fax:614-327-0887
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-12
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH145672164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse