Wegner, Jon Robert

Wegner, Jon Robert is an individual health care provider with primary practice located at 1120 Grove Ave , Racine WI 53405-3028. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wegner, Jon Robert can be contacted via phone (262) 637-7917.

Contact Information

Primary practice address
1120 Grove Ave Racine WI 53405-3028
Phone: (262) 637-7917
Fax: (262) 637-6786
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2647 Wisconsin

Profile Details

NPI number 1447246046
LBN Legal business name Wegner, Jon Robert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Mar 24th, 2016 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447246046 NPPES
Wisconsin MEDICAID 38594800

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