Provider Demographics
NPI:1801783196
Name:ADEYEMI, ADEMOLA MARTIN
Entity type:Individual
Prefix:
First Name:ADEMOLA
Middle Name:MARTIN
Last Name:ADEYEMI
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 1:2943 BARCLAY SQ S
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-3822
Mailing Address - Country:US
Mailing Address - Phone:240-481-6777
Mailing Address - Fax:
Practice Address - Street 1:2943 BARCLAY SQ S
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43209-3822
Practice Address - Country:US
Practice Address - Phone:240-481-6777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)