Provider Demographics
NPI:1669275350
Name:OJO, OLUWATOSIN G
Entity type:Individual
Prefix:
First Name:OLUWATOSIN
Middle Name:G
Last Name:OJO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10823 ARENDALE DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-7024
Mailing Address - Country:US
Mailing Address - Phone:317-334-5331
Mailing Address - Fax:
Practice Address - Street 1:10823 ARENDALE DR
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-7024
Practice Address - Country:US
Practice Address - Phone:317-334-5331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-29
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NH18454400374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide