Wogtech, Kyle Alan
Wogtech, Kyle Alan is an individual health care provider with primary practice located at 2 Progress Point Pkwy Dept Anesthesiology, O Fallon MO 63368-2205. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Wogtech, Kyle Alan can be contacted via phone (800) 862-9980.Contact Information
Primary practice address
2 Progress Point Pkwy Dept Anesthesiology
O Fallon MO 63368-2205
Phone: (800) 862-9980
Fax: (314) 362-1185
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 2017012724 | Missouri |
Profile Details
NPI number | 1134655053 |
---|---|
LBN Legal business name | Wogtech, Kyle Alan |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 11th, 2017 |
Last updated | Apr 25th, 2024 - about last year |
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 | 1134655053 | NPPES |
Missouri | MEDICAID | 910045740 |
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