Ogle, Samuel Lance

Ogle, Samuel Lance is an individual health care provider with primary practice located at 1601 New Castle Rd , Forrest City AR 72335-2218. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Ogle, Samuel Lance can be contacted via phone (870) 261-0513.

Contact Information

Primary practice address
1601 New Castle Rd Forrest City AR 72335-2218
Phone: (870) 261-0513
Fax: (870) 261-0535
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C00837 Arkansas

Profile Details

NPI number 1710946736
LBN Legal business name Ogle, Samuel Lance
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Oct 6th, 2014 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710946736 NPPES
Arkansas MEDICAID 122249701
Arkansas Other 5S391
Arkansas Other 1710946736
Arkansas Other 1710946736

Popular Providers