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Contact Information

WASIU A OMOTAYO
5414 W VILLARD AVE
MILWAUKEE, WI53218-4224
 Phone: 414-241-2446
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Home Administrator

376G00000X
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for WASIU A OMOTAYO · (Male)

NPI # 1194618892
Status Active
Credentials
Entity Individual
Enumeration date 05/31/2025
Last updated 01/18/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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