Wolgamott, Gregory A

Wolgamott, Gregory A is an individual health care provider with primary practice located at 1660 Delaware St , Longview WA 98632-2310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Wolgamott, Gregory A can be contacted via phone (360) 414-2800.

Contact Information

Primary practice address
1660 Delaware St Longview WA 98632-2310
Phone: (360) 414-2800
Fax: (360) 414-2803
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD00031845 Washington

Profile Details

NPI number 1487648432
LBN Legal business name Wolgamott, Gregory A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jul 9th, 2007 - about 18 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 1487648432 NPPES
Oregon MEDICAID 65461
Oregon MEDICAID 8157463
Oregon Other 081333
Oregon Other 8940265

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