Provider Demographics
NPI:1053150680
Name:OGLESBY, SONYA FAYE
Entity type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:FAYE
Last Name:OGLESBY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2696 MAJESTIC OAKS CT
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45431-4317
Mailing Address - Country:US
Mailing Address - Phone:614-600-8512
Mailing Address - Fax:
Practice Address - Street 1:2696 MAJESTIC OAKS CT
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45431-4317
Practice Address - Country:US
Practice Address - Phone:614-600-8512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant