Wegner, Krislea Erin

Wegner, Krislea Erin is an individual health care provider with primary practice located at 1606 C 30Th Ave S , Moorhead MN 56560. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wegner, Krislea Erin can be contacted via phone (218) 287-4338.

Contact Information

Primary practice address
1606 C 30Th Ave S Moorhead MN 56560
Phone: (218) 287-4338
Fax: (218) 287-5928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4648 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X 383 North Dakota

Profile Details

NPI number 1306930417
LBN Legal business name Wegner, Krislea Erin
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306930417 NPPES
North Dakota MEDICAID 13681
North Dakota Other 26579

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