Koblegard, Wendell
Koblegard, Wendell is an individual health care provider with primary practice located at 2100 Nebraska Ave Ste 113 , Fort Pierce FL 34950-5968. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Koblegard, Wendell can be contacted via phone (772) 460-0321.Contact Information
Primary practice address
2100 Nebraska Ave Ste 113
Fort Pierce FL 34950-5968
Phone: (772) 460-0321
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | TRN7826 | Florida |
Profile Details
| NPI number | 1053460378 |
|---|---|
| LBN Legal business name | Koblegard, Wendell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Sep 22nd, 2011 - about 15 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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