Wagner, Deadra L
Wagner, Deadra L is an sole proprietor health care provider with primary practice located at 1459 Miami Rd , Benton Harbor MI 49022-6055. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Wagner, Deadra L can be contacted via phone (269) 208-7031.Contact Information
Primary practice address
1459 Miami Rd
Benton Harbor MI 49022-6055
Phone: (269) 208-7031
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038009468 | Illinois |
Profile Details
| NPI number | 1538290234 |
|---|---|
| LBN Legal business name | Wagner, Deadra L |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Jan 20th, 2010 - about 14 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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