Oegema, Cory Dylan

Oegema, Cory Dylan is an individual health care provider with primary practice located at 1700 W Paradise Dr , West Bend WI 53095-9795. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Oegema, Cory Dylan can be contacted via phone (262) 334-3451.

Contact Information

Primary practice address
1700 W Paradise Dr West Bend WI 53095-9795
Phone: (262) 334-3451
Fax: (262) 347-3044
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5418 Wisconsin

Profile Details

NPI number 1295324929
LBN Legal business name Oegema, Cory Dylan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2021
Last updated Feb 27th, 2024 - about 2 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 1295324929 NPPES
Wisconsin MEDICAID 1295324929

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