Wagner, Eric

Wagner, Eric is an sole proprietor health care provider with primary practice located at 526 W Main St , Sparta WI 54656-2146. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Wagner, Eric can be contacted via phone (608) 387-3586.

Contact Information

Primary practice address
526 W Main St Sparta WI 54656-2146
Phone: (608) 387-3586
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 309254-031 Wisconsin

Profile Details

NPI number 1487043196
LBN Legal business name Wagner, Eric
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2015
Last updated Jan 19th, 2015 - about 9 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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