Healthcare Provider Details

I. General information

NPI: 1255024758
Provider Name (Legal Business Name): CATE OLUWASEYIFUNMI BABALOLA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2023
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3837 DUST COMMANDER DR
FAIRFIELD TOWNSHIP OH
45011-5596
US

IV. Provider business mailing address

7878 JESSIES WAY APT 201
HAMILTON OH
45011-7745
US

V. Phone/Fax

Practice location:
  • Phone: 513-349-2620
  • Fax:
Mailing address:
  • Phone: 513-349-2620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License NumberUN605727
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: