Provider Demographics
NPI:1528461001
Name:OJO, JOHN
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:OJO
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 1:790 FAIRVIEW AVE
Mailing Address - Street 2:APT. 317
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-5979
Mailing Address - Country:US
Mailing Address - Phone:202-468-1691
Mailing Address - Fax:
Practice Address - Street 1:1818 NEW YORK AVE NE STE 221
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-1851
Practice Address - Country:US
Practice Address - Phone:202-800-6440
Practice Address - Fax:202-899-6994
Is Sole Proprietor?:No
Enumeration Date:2014-09-29
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN63472163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse