Wagner, Brenton Paul
Wagner, Brenton Paul is an individual health care provider with primary practice located at 12300 Mccracken Road , Garfield Heights OH 44125. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Wagner, Brenton Paul can be contacted via phone (216) 581-0500.Contact Information
Primary practice address
12300 Mccracken Road
Garfield Heights OH 44125
Phone: (216) 581-0500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN.CNP.022596 | Ohio |
Profile Details
NPI number | 1326539578 |
---|---|
LBN Legal business name | Wagner, Brenton Paul |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2018 |
Last updated | Feb 21st, 2022 - about 3 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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