Wagner, Georgia
Wagner, Georgia is an individual health care provider with primary practice located at 1941 Virginia Ave , Connersville IN 47331-2833. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Wagner, Georgia can be contacted via phone (765) 825-5131.Contact Information
Primary practice address
1941 Virginia Ave
Connersville IN 47331-2833
Phone: (765) 825-5131
Fax: (765) 827-7863
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 37000770A | Indiana |
Profile Details
| NPI number | 1295146165 |
|---|---|
| LBN Legal business name | Wagner, Georgia |
| Credentials | MA,RD,CD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2014 |
| Last updated | May 14th, 2014 - about 10 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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