Wagner, Jeffrey
Wagner, Jeffrey is an individual health care provider with primary practice located at 3525 E Louise Dr , Meridian ID 83642-6302. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist, which is considered as his primary health care specialty. Wagner, Jeffrey can be contacted via phone (208) 706-7050.Contact Information
Primary practice address
3525 E Louise Dr
Meridian ID 83642-6302
Phone: (208) 706-7050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist | 224Y00000X |
Profile Details
| NPI number | 1003312117 |
|---|---|
| LBN Legal business name | Wagner, Jeffrey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2018 |
| Last updated | Apr 5th, 2018 - about 6 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.
Popular Providers
-
Morgan, Kelly
3525 E Louise Dr Ste 500 , Meridian ID 83642-6305 -
Peng, Richard Zhen
15060 Victory Blvd Unit 103, Van Nuys CA 91411-1835 -
Reade, Lindsay
3525 E Louise Dr , Meridian ID 83642-6302 -
Kygar, Derek Earl
3525 E Louise Dr Ste 500 , Meridian ID 83642-6305 -
Griffin, Tegan
3525 E Louise Dr Ste 500 , Meridian ID 83642-6305 -
Arthur, Phillip
5010 Northpointe Dr , Zanesville OH 43701 -
Heckendorn, Kate
3525 E Louise Dr Ste 500 , Meridian ID 83642-6305 -
Ryan, Edwin Emil
2145 The Alameda , San Jose CA 95126-1141