Fonnesbeck, Brant Wahlen
Fonnesbeck, Brant Wahlen is an individual health care provider with primary practice located at 550 E 1400 N Ste K , Logan UT 84341-2450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fonnesbeck, Brant Wahlen can be contacted via phone (435) 755-6061.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5953772-1204 | Utah |
Profile Details
| NPI number | 1033156849 |
|---|---|
| LBN Legal business name | Fonnesbeck, Brant Wahlen |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Feb 26th, 2008 - about 17 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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