Individual provider · NPI-1
Shade Mary Adegbehingbe
Homemaker · Columbus, OH
NPI number1093646861
StatusActive
Last updated in NPPESMay 28, 2026
Details
- NPI
- 1093646861
- Entity type
- Individual (NPI-1)
- Name
- Shade Mary Adegbehingbe
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 28, 2026
- Certification date
- May 28, 2026
- Last updated
- May 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | – | – | Yes |
Practice location
1715 Hickory Creek LnColumbus, OH 43229-7069
Phone 614-353-8313
Mailing address
1715 Hickory Creek LnColumbus, OH 43229-7069
Phone 614-353-8313
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