Provider Demographics
NPI:1275358160
Name:OLAOSUN, OLAYINKA SIKIRU
Entity type:Individual
Prefix:
First Name:OLAYINKA
Middle Name:SIKIRU
Last Name:OLAOSUN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 KING RICHARD DR
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-5425
Mailing Address - Country:US
Mailing Address - Phone:216-632-6812
Mailing Address - Fax:
Practice Address - Street 1:3010 KING RICHARD DR
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-5425
Practice Address - Country:US
Practice Address - Phone:216-632-6812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No372600000XNursing Service Related ProvidersAdult Companion
No372500000XNursing Service Related ProvidersChore Provider