Wagener, Marie Susan
Wagener, Marie Susan is an individual health care provider with primary practice located at 250 Cetronia Rd Suite 301, Allentown PA 18104-9147. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Wagener, Marie Susan can be contacted via phone (610) 437-2378.Contact Information
Primary practice address
250 Cetronia Rd Suite 301
Allentown PA 18104-9147
Phone: (610) 437-2378
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | OS016478 | Pennsylvania |
Profile Details
| NPI number | 1104054923 |
|---|---|
| LBN Legal business name | Wagener, Marie Susan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2009 |
| Last updated | Aug 19th, 2020 - about 4 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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