Wagemann, Blair Suzanne
Wagemann, Blair Suzanne is an individual health care provider with primary practice located at 153 E Monte Painter Dr , Fayetteville AR 72703-4002. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Wagemann, Blair Suzanne can be contacted via phone (479) 444-2259.Contact Information
Primary practice address
153 E Monte Painter Dr
Fayetteville AR 72703-4002
Phone: (479) 444-2259
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 007777 | Arkansas |
Profile Details
| NPI number | 1306051305 |
|---|---|
| LBN Legal business name | Wagemann, Blair Suzanne |
| Credentials | P.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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