Olufemi Olakunle Ajetunmobi
Individual provider Active NPI Homemaker · Columbus, OH
NPI 1346058286 · NPPES record last updated Dec 23, 2024
Key facts
- NPI
- 1346058286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- License
- VQ417653 (OH)
- Practice address
- 3065 Ashmere Dr
Columbus, OH 43232-3539 - Phone
- (614) 288-3741
- NPI assigned
- Dec 23, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VQ417653 | OH | MD | Homemaker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | VQ417653 | OH | Yes |
Addresses
Primary practice location
3065 Ashmere Dr
Columbus, OH 43232-3539
Mailing address
3065 Ashmere Dr
Columbus, OH 43232-3539
Phone (614) 288-3741
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.