Ogle, Samuel Garrett

Ogle, Samuel Garrett is an sole proprietor health care provider with primary practice located at 1710 N 13Th Loop Rd , Shelton WA 98584-2166. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ogle, Samuel Garrett can be contacted via phone (360) 426-4142.

Contact Information

Primary practice address
1710 N 13Th Loop Rd Shelton WA 98584-2166
Phone: (360) 426-4142
Fax: (360) 427-5772
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD00032175 Washington

Profile Details

NPI number 1184662132
LBN Legal business name Ogle, Samuel Garrett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2006
Last updated Jan 12th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184662132 NPPES
Washington Other 020031031 RRM
Washington Other 46982 RRM
Washington MEDICAID 8161127 RRM
Washington Other OG8275 RRM

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