Wegner, Matthew Brent

Wegner, Matthew Brent is an individual health care provider with primary practice located at 101 Professional Dr , West Monroe LA 71291-8309. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Wegner, Matthew Brent can be contacted via phone (318) 387-5244.

Contact Information

Primary practice address
101 Professional Dr West Monroe LA 71291-8309
Phone: (318) 387-5244
Fax: (318) 398-9986
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP04788 Louisiana

Profile Details

NPI number 1518949650
LBN Legal business name Wegner, Matthew Brent
Credentials APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Mar 17th, 2008 - about 18 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 1518949650 NPPES
Louisiana MEDICAID 1787132

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