Wegner, Kristin Mary
Wegner, Kristin Mary is an sole proprietor health care provider with primary practice located at 1802 Warden St , Eau Claire WI 54703-4960. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wegner, Kristin Mary can be contacted via phone (715) 552-1620.Contact Information
Primary practice address
1802 Warden St
Eau Claire WI 54703-4960
Phone: (715) 552-1620
Fax: (715) 552-2734
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2675-057 | Wisconsin |
Profile Details
| NPI number | 1619125093 |
|---|---|
| LBN Legal business name | Wegner, Kristin Mary |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2008 |
| Last updated | Jun 26th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619125093 | NPPES |
| Wisconsin | MEDICAID | 40984200 |
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