Ogle, Brent Burton

Ogle, Brent Burton is an individual health care provider with primary practice located at 206 S Mulberry St Suite B, Mount Vernon OH 43050-3331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ogle, Brent Burton can be contacted via phone (740) 397-3553.

Contact Information

Primary practice address
206 S Mulberry St Suite B Mount Vernon OH 43050-3331
Fax: (740) 392-4158
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34-00-7301-0 Ohio

Profile Details

NPI number 1689606451
LBN Legal business name Ogle, Brent Burton
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jan 25th, 2023 - about last year

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 1689606451 NPPES
Ohio MEDICAID 2267505

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