Oluwaseun Emmanuel Olorunleke

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

HXS4314 Issued in OH

Practice address

8465 White Cedar Dr Apt 832
Miamisburg, OH 45342-5356

Phone

(937) 475-7428

NPI assigned

Feb 21, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Oluwaseun Emmanuel Job Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1316645013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8465 WHITE CEDAR DR APT 832",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453425356",
            "telephone_number": "937-475-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8465 WHITE CEDAR DR APT 832",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453425356",
            "telephone_number": "937-475-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLORUNLEKE",
        "first_name": "OLUWASEUN",
        "middle_name": "EMMANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "OH",
            "license": "HXS4314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347C00000X",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLUWASEUN",
            "last_name": "JOB",
            "middle_name": "EMMANUEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Private Vehicle in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• Private Vehicle in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.