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

Primary practice address
550 E 1400 N Ste K Logan UT 84341-2450
Phone: (435) 755-6061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 16 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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