Plasic-Van Wagner, Christine

Plasic-Van Wagner, Christine is an individual health care provider with primary practice located at 283 S Butler Rd , Lebanon PA 17042-8939. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Plasic-Van Wagner, Christine can be contacted via phone (717) 273-8871.

Contact Information

Primary practice address
283 S Butler Rd Lebanon PA 17042-8939
Phone: (717) 273-8871
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP010192 Pennsylvania

Profile Details

NPI number 1801157169
LBN Legal business name Plasic-Van Wagner, Christine
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2012
Last updated Aug 7th, 2023 - about 3 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 1801157169 NPPES
Pennsylvania MEDICAID 102747150
Pennsylvania Other SP010192
Pennsylvania Other RN212931L
Pennsylvania Other 12408945

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