Waggoner, Craig D.

Waggoner, Craig D. is an sole proprietor health care provider with primary practice located at 4105 Kirkman St , Lake Charles LA 70607-4603. He recently has only one registered license in Behavioral Health & Social Service Providers / Prescribing (Medical), which is considered as his primary health care specialty. Waggoner, Craig D. can be contacted via phone (337) 475-8022.

Contact Information

Primary practice address
4105 Kirkman St Lake Charles LA 70607-4603
Phone: (337) 475-8022
Fax: (337) 475-8054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X MPAP.000029 Louisiana

Profile Details

NPI number 1578517439
LBN Legal business name Waggoner, Craig D.
Credentials PHD, MPAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2006
Last updated Feb 7th, 2013 - about 11 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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