Wegner, Daniel J

Wegner, Daniel J is an individual health care provider with primary practice located at 1055 N Curtis Rd , Boise ID 83706-1309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wegner, Daniel J can be contacted via phone (208) 367-2161.

Contact Information

Primary practice address
1055 N Curtis Rd Boise ID 83706-1309
Fax: (208) 367-2989
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M8601 Idaho

Profile Details

NPI number 1275584997
LBN Legal business name Wegner, Daniel J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated May 18th, 2016 - about 8 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 1275584997 NPPES
Idaho MEDICAID 806390500

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