Wagner, Jill Karen
Wagner, Jill Karen is an sole proprietor health care provider with primary practice located at 450 W Broad St Suite 214-A, Falls Church VA 22046-3340. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Wagner, Jill Karen can be contacted via phone (703) 606-6213.Contact Information
Primary practice address
450 W Broad St Suite 214-A
Falls Church VA 22046-3340
Phone: (703) 606-6213
Fax: (703) 620-0843
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 0105005106 | Virginia |
Profile Details
| NPI number | 1518290360 |
|---|---|
| LBN Legal business name | Wagner, Jill Karen |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2009 |
| Last updated | Sep 11th, 2009 - about 16 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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