Wagner, Elizabeth Stanton

Wagner, Elizabeth Stanton is an sole proprietor health care provider with primary practice located at 1011 Veterans Memorial Pkwy , Riverside RI 02915-5061. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Wagner, Elizabeth Stanton can be contacted via phone (401) 432-1000.

Contact Information

Primary practice address
1011 Veterans Memorial Pkwy Riverside RI 02915-5061
Phone: (401) 432-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X LP04105 Rhode Island
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X LP04105 Rhode Island
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X LP04105 Rhode Island
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD18427 Rhode Island

Profile Details

NPI number 1831629336
LBN Legal business name Wagner, Elizabeth Stanton
Credentials MD, MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2017
Last updated Aug 24th, 2022 - about 2 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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