Provider Demographics
NPI:1871315176
Name:AFOLABI, SHOLA JACOB
Entity type:Individual
Prefix:MR
First Name:SHOLA
Middle Name:JACOB
Last Name:AFOLABI
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 1:2392, KITTREL CT
Mailing Address - Street 2:
Mailing Address - City:GROVECITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123
Mailing Address - Country:US
Mailing Address - Phone:614-419-5411
Mailing Address - Fax:
Practice Address - Street 1:2392, KITTREL CT
Practice Address - Street 2:
Practice Address - City:GROVECITY
Practice Address - State:OH
Practice Address - Zip Code:43123
Practice Address - Country:US
Practice Address - Phone:614-419-5411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care