Provider Demographics
NPI:1083977649
Name:WEGLIN, AARON (AS)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:WEGLIN
Suffix:
Gender:M
Credentials:AS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1841 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:WY
Mailing Address - Zip Code:82240-2705
Mailing Address - Country:US
Mailing Address - Phone:307-532-1915
Mailing Address - Fax:307-532-1915
Practice Address - Street 1:1841 MAIN ST
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:WY
Practice Address - Zip Code:82240-2705
Practice Address - Country:US
Practice Address - Phone:307-532-1915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker