Ogesen, Robert B
Ogesen, Robert B is an sole proprietor health care provider with primary practice located at 15215 S 48Th St Ste 152, Phoenix AZ 85044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Ogesen, Robert B can be contacted via phone (480) 704-8585.Contact Information
Primary practice address
15215 S 48Th St Ste 152
Phoenix AZ 85044
Phone: (480) 704-8585
Fax: (480) 704-8668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | 20679 | Arizona |
Profile Details
| NPI number | 1164699328 |
|---|---|
| LBN Legal business name | Ogesen, Robert B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2008 |
| Last updated | Nov 23rd, 2016 - about 9 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 | 1164699328 | NPPES |
| Arizona | MEDICAID | 123208001 |
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