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
Fax:
Website:

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.

Request for update

Popular Providers