Wagner, Bridget
Wagner, Bridget is an individual health care provider with primary practice located at 635 59Th St , Downers Grove IL 60516-1436. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Wagner, Bridget can be contacted via phone (630) 719-5815.Contact Information
Primary practice address
635 59Th St
Downers Grove IL 60516-1436
Phone: (630) 719-5815
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X |
Profile Details
| NPI number | 1629584974 |
|---|---|
| LBN Legal business name | Wagner, Bridget |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2017 |
| Last updated | Dec 22nd, 2017 - about 8 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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