Wagner, James

Wagner, James is an sole proprietor health care provider with primary practice located at 316 Madison St , Niles MI 49120-3128. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Wagner, James can be contacted via phone (269) 921-0572.

Contact Information

Primary practice address
316 Madison St Niles MI 49120-3128
Phone: (269) 921-0572
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 5502004181 Michigan

Profile Details

NPI number 1568965234
LBN Legal business name Wagner, James
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2018
Last updated Mar 8th, 2018 - about 7 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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