Provider Demographics
NPI:1477445237
Name:OLOGBE, OLUWATOSIN
Entity type:Individual
Prefix:
First Name:OLUWATOSIN
Middle Name:
Last Name:OLOGBE
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 1:2081 STOCKMEYER BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48186-9322
Mailing Address - Country:US
Mailing Address - Phone:734-828-4039
Mailing Address - Fax:734-828-4039
Practice Address - Street 1:2081 STOCKMEYER BLVD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-9322
Practice Address - Country:US
Practice Address - Phone:734-828-4039
Practice Address - Fax:734-828-4039
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care