Wagner, Blake Joseph
Wagner, Blake Joseph is an sole proprietor health care provider with primary practice located at 21505 Market Pl Nw Suite 102, Poulsbo WA 98370-6635. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wagner, Blake Joseph can be contacted via phone (360) 598-3143.Contact Information
Primary practice address
21505 Market Pl Nw Suite 102
Poulsbo WA 98370-6635
Phone: (360) 598-3143
Fax: (360) 598-4172
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH00003095 | Washington |
Profile Details
| NPI number | 1134267735 |
|---|---|
| LBN Legal business name | Wagner, Blake Joseph |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2007 |
| Last updated | Apr 25th, 2011 - about 13 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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