Oglesby, Allan C

Oglesby, Allan C is an individual health care provider with primary practice located at 61 Memorial Medical Pkwy Ste 3804 , Palm Coast FL 32164-5982. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Oglesby, Allan C can be contacted via phone (386) 586-1740.

Contact Information

Primary practice address
61 Memorial Medical Pkwy Ste 3804 Palm Coast FL 32164-5982
Phone: (386) 586-1740
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0060915 Florida

Profile Details

NPI number 1124098553
LBN Legal business name Oglesby, Allan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jan 17th, 2020 - 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 1124098553 NPPES
Florida MEDICAID 375990300

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