Waggoner, Heather Lynne
Waggoner, Heather Lynne is an individual health care provider with primary practice located at 600 Wayne Avenue , Dayton OH 45410. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Waggoner, Heather Lynne can be contacted via phone (937) 496-2000.Contact Information
Primary practice address
600 Wayne Avenue
Dayton OH 45410
Phone: (937) 496-2000
Fax: (937) 463-2901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | I0007672S | Ohio |
Profile Details
| NPI number | 1386815207 |
|---|---|
| LBN Legal business name | Waggoner, Heather Lynne |
| Credentials | LISWS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2008 |
| Last updated | Mar 19th, 2008 - about 16 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 | 1386815207 | NPPES |
| Ohio | Other | 0000003211683 | ANTHEM BCBS |
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