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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386815207 NPPES
Ohio Other 0000003211683 ANTHEM BCBS

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