Ogilvie, James W

Ogilvie, James W is an sole proprietor health care provider with primary practice located at 4100 Lake Dr Se Suite 205, Grand Rapids MI 49546-8292. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Ogilvie, James W can be contacted via phone (616) 267-7100.

Contact Information

Primary practice address
4100 Lake Dr Se Suite 205 Grand Rapids MI 49546-8292
Fax: (616) 267-7414
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 47550 Minnesota
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 47550 Minnesota

Profile Details

NPI number 1467409029
LBN Legal business name Ogilvie, James W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2006
Last updated Feb 24th, 2021 - about 4 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 1467409029 NPPES
Michigan MEDICAID 146740929

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