Provider Demographics
NPI:1073225587
Name:WEGMANN, CASE (NRP)
Entity Type:Individual
Prefix:MR
First Name:CASE
Middle Name:
Last Name:WEGMANN
Suffix:
Gender:M
Credentials:NRP
Other - Prefix:
Other - First Name:CHARLES
Other - Middle Name:
Other - Last Name:WEGMANN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NRP
Mailing Address - Street 1:1132 ELYSIAN FIELDS AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70117-8454
Mailing Address - Country:US
Mailing Address - Phone:504-298-9296
Mailing Address - Fax:
Practice Address - Street 1:1514 JEFFERSON HWY
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70121-2429
Practice Address - Country:US
Practice Address - Phone:866-634-7637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-15
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALA21-2388146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
M5136491OtherNATIONAL REGISTRY OF EMERGENCY MEDICAL TECHNICANS
0014-6715-3800OtherNATIONAL REGISTRY OF EMERGENCY MEDICAL TECHNICIANS
LALA21-2388OtherLOUISIANA BUREAU OF EMS LICENSE