Wager, Richard

Wager, Richard is an individual health care provider with primary practice located at 2346 Mascoutah Ave , Belleville IL 62220-3499. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is his primary health care specialty. Wager, Richard can be contacted via phone (618) 277-6282.

Contact Information

Primary practice address
2346 Mascoutah Ave Belleville IL 62220-3499
Phone: (618) 277-6282
Fax: (618) 277-6284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 070004745 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096000735 Illinois

Profile Details

NPI number 1912989252
LBN Legal business name Wager, Richard
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Jul 29th, 2016 - about 9 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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