Wesenberg, Brent C.

Wesenberg, Brent C. is an individual health care provider with primary practice located at 5234 Sw Philomath Blvd , Corvallis OR 97333-1042. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Wesenberg, Brent C. can be contacted via phone (541) 768-4970.

Contact Information

Primary practice address
5234 Sw Philomath Blvd Corvallis OR 97333-1042
Phone: (541) 768-4970
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD26812 Oregon
Other Service Providers / Specialist 174400000X MD26812 Oregon

Profile Details

NPI number 1073560876
LBN Legal business name Wesenberg, Brent C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Nov 10th, 2020 - about 6 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 1073560876 NPPES
Oregon MEDICAID 240516
Oregon Other 00389270

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