Wogahn, Brent M

Wogahn, Brent M is an individual health care provider with primary practice located at 719 W Hamilton Ave Suite C, Eau Claire WI 54701-6968. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wogahn, Brent M can be contacted via phone (715) 832-1044.

Contact Information

Primary practice address
719 W Hamilton Ave Suite C Eau Claire WI 54701-6968
Phone: (715) 832-1044
Fax: (715) 832-0520
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 36446 Wisconsin

Profile Details

NPI number 1922056787
LBN Legal business name Wogahn, Brent M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Dec 17th, 2021 - about 5 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 1922056787 NPPES
Wisconsin Other 17-13730 SELECT CARE/MEDICA
Wisconsin Other 020031295 SELECT CARE/MEDICA
Wisconsin Other HP60437 SELECT CARE/MEDICA
Wisconsin MEDICAID 32105900 SELECT CARE/MEDICA
Wisconsin Other 38718 SELECT CARE/MEDICA

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