Wagner, Jacob Arnold

Wagner, Jacob Arnold is an individual health care provider with primary practice located at 2292 Chambliss Ave Nw Ste C2 , Cleveland TN 37311-3862. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Wagner, Jacob Arnold can be contacted via phone (423) 479-5672.

Contact Information

Primary practice address
2292 Chambliss Ave Nw Ste C2 Cleveland TN 37311-3862
Phone: (423) 479-5672
Fax: (423) 479-5679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X
Behavioral Health & Social Service Providers / School 103TS0200X 000748846 Tennessee

Profile Details

NPI number 1497590277
LBN Legal business name Wagner, Jacob Arnold
Credentials LSP, ED.S
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2024
Last updated Jun 25th, 2024 - about last year

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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