Wegner, Robert L
Wegner, Robert L is an individual health care provider with primary practice located at 1120 Grove Ave , Racine WI 53405-3028. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wegner, Robert L can be contacted via phone (262) 637-7917.Contact Information
Primary practice address
1120 Grove Ave
Racine WI 53405-3028
Phone: (262) 637-7917
Fax: (262) 637-6786
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1310 | Wisconsin |
Profile Details
| NPI number | 1861516262 |
|---|---|
| LBN Legal business name | Wegner, Robert L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Feb 22nd, 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 | 1861516262 | NPPES |
| Wisconsin | MEDICAID | 38570200 |
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