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
Fax: (480) 704-8668
Website:

Health care specialties

SpecialtyCodeLicense #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 8 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 1164699328 NPPES
Arizona MEDICAID 123208001

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