Ogle, Rose Ingram
Ogle, Rose Ingram is an individual health care provider with primary practice located at 213 E Orange St Ste B, Wauchula FL 33873-2934. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ogle, Rose Ingram can be contacted via phone (863) 773-3228.Contact Information
Primary practice address
213 E Orange St Ste B
Wauchula FL 33873-2934
Phone: (863) 773-3228
Fax: (863) 534-7028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW2870 | Florida |
Profile Details
| NPI number | 1649266693 |
|---|---|
| LBN Legal business name | Ogle, Rose Ingram |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Jan 29th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649266693 | NPPES |
| Florida | Other | Z955 | BCBS |
| Florida | MEDICAID | 763558300 | BCBS |
| Florida | Other | 455343000 | BCBS |
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