Wagers, Steven

Wagers, Steven is an individual health care provider with primary practice located at 104 Legacy Dr , Berea KY 40403-9594. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Wagers, Steven can be contacted via phone (859) 986-2323.

Contact Information

Primary practice address
104 Legacy Dr Berea KY 40403-9594
Phone: (859) 986-2323
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 012026 Kentucky

Profile Details

NPI number 1962491399
LBN Legal business name Wagers, Steven
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1962491399 NPPES
Kentucky Other 012026 STATE LICENSE

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