Wagner, Earl Jason

Wagner, Earl Jason is an sole proprietor health care provider with primary practice located at Uss Pittsburgh Ssn-720 , Fpo AE 09582-2400. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Wagner, Earl Jason can be contacted via phone (860) 694-3618.

Contact Information

Primary practice address
Uss Pittsburgh Ssn-720 Fpo AE 09582-2400
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1770749541
LBN Legal business name Wagner, Earl Jason
Credentials SUBMARINE IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2008
Last updated Jul 31st, 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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