Wegner, Edward Lyle
Wegner, Edward Lyle is an sole proprietor health care provider with primary practice located at 401 9Th Ave Nw , Watertown SD 57201-1548. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Wegner, Edward Lyle can be contacted via phone (605) 882-7749.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 1305 | South Dakota |
Profile Details
| NPI number | 1437117173 |
|---|---|
| LBN Legal business name | Wegner, Edward Lyle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2006 |
| Last updated | Jul 16th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437117173 | NPPES |
| South Dakota | MEDICAID | 6600332 |
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