Wagner, Justin

Wagner, Justin is an individual health care provider with primary practice located at 1049 E Newell St , White Cloud MI 49349-8795. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Wagner, Justin can be contacted via phone (231) 689-7330.

Contact Information

Primary practice address
1049 E Newell St White Cloud MI 49349-8795
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 6851114971 Michigan

Profile Details

NPI number 1578283370
LBN Legal business name Wagner, Justin
Credentials LLMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2022
Last updated Feb 1st, 2023 - about last year

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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