Wagner, Kari Sue
Wagner, Kari Sue is an individual health care provider with primary practice located at 201 Kendall Drive , Lamar CO 81052. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wagner, Kari Sue can be contacted via phone (719) 336-7501.Contact Information
Primary practice address
201 Kendall Drive
Lamar CO 81052
Phone: (719) 336-7501
Fax: (719) 336-7453
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4340 | Colorado |
Profile Details
NPI number | 1073640595 |
---|---|
LBN Legal business name | Wagner, Kari Sue |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 28th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073640595 | NPPES |
Other | 53344 | NCC |
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