Wegner, Matthew Brent
Wegner, Matthew Brent is an individual health care provider with primary practice located at 101 Professional Dr , West Monroe LA 71291-8309. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Wegner, Matthew Brent can be contacted via phone (318) 387-5244.Contact Information
Primary practice address
101 Professional Dr
West Monroe LA 71291-8309
Phone: (318) 387-5244
Fax: (318) 398-9986
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP04788 | Louisiana |
Profile Details
NPI number | 1518949650 |
---|---|
LBN Legal business name | Wegner, Matthew Brent |
Credentials | APRN, FNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 15th, 2005 |
Last updated | Mar 17th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518949650 | NPPES |
Louisiana | MEDICAID | 1787132 |
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