Wagers, Rebecca A
Wagers, Rebecca A is an individual health care provider with primary practice located at 28 Park Avenue West Suite 300, Mansfield OH 44902. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Wagers, Rebecca A can be contacted via phone (419) 522-5015.Contact Information
Primary practice address
28 Park Avenue West Suite 300
Mansfield OH 44902
Phone: (419) 522-5015
Fax: (419) 522-5017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | 140925 | Ohio |
Profile Details
| NPI number | 1174978183 |
|---|---|
| LBN Legal business name | Wagers, Rebecca A |
| Credentials | CDCA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2016 |
| Last updated | Apr 27th, 2016 - about 8 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 | 1174978183 | NPPES |
| Ohio | Other | 140925 | OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD |
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