Wiederholt, Brent

Wiederholt, Brent is an individual health care provider with primary practice located at N10 North River Road , Fort Yates ND 58538. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Wiederholt, Brent can be contacted via phone (701) 854-3831.

Contact Information

Primary practice address
N10 North River Road Fort Yates ND 58538
Phone: (701) 854-3831
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X R033677 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SD-CNP CP000967 South Dakota

Profile Details

NPI number 1588825723
LBN Legal business name Wiederholt, Brent
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2008
Last updated Jul 23rd, 2015 - about 10 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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