Ryden, Sandra Wagner
Ryden, Sandra Wagner is an sole proprietor health care provider with primary practice located at 1818 W Lindsey St Ste C212 , Norman OK 73069-4159. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ryden, Sandra Wagner can be contacted via phone (405) 360-7165.Contact Information
Primary practice address
1818 W Lindsey St Ste C212
Norman OK 73069-4159
Phone: (405) 360-7165
Fax: (405) 360-7165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0674 | Oklahoma |
Profile Details
| NPI number | 1578569018 |
|---|---|
| LBN Legal business name | Ryden, Sandra Wagner |
| Credentials | MSW, LCSW, |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Dec 10th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578569018 | NPPES |
| Other | 0007391110 | AETNA | |
| MEDICAID | 100707540A | AETNA |
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