Wagner, Judith
Wagner, Judith is an sole proprietor health care provider with primary practice located at 23161 Greater Mack Ave , Saint Clair Shores MI 48080-1956. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Wagner, Judith can be contacted via phone (586) 779-8892.Contact Information
Primary practice address
23161 Greater Mack Ave
Saint Clair Shores MI 48080-1956
Phone: (586) 779-8892
Fax: (586) 779-2869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5501002691 | Michigan |
Profile Details
| NPI number | 1659458016 |
|---|---|
| LBN Legal business name | Wagner, Judith |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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