Wegener, Lee T

Wegener, Lee T is an individual health care provider with primary practice located at 13400 E Shea Blvd , Scottsdale AZ 85259-5404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Wegener, Lee T can be contacted via phone (480) 301-8000.

Contact Information

Primary practice address
13400 E Shea Blvd Scottsdale AZ 85259-5404
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 16942 Arizona

Profile Details

NPI number 1356324024
LBN Legal business name Wegener, Lee T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2005
Last updated Oct 30th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356324024 NPPES
Arizona Other 86080015085259A248 TRIWEST
Arizona Other 86080015085260A018 TRIWEST
Arizona MEDICAID 334508 TRIWEST

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