Wagner, Kathleen T
Wagner, Kathleen T is an individual health care provider with primary practice located at 4545 E 9Th Ave Suite 502, Denver CO 80220-3910. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Wagner, Kathleen T can be contacted via phone (303) 320-2944.Contact Information
Primary practice address
4545 E 9Th Ave Suite 502
Denver CO 80220-3910
Phone: (303) 320-2944
Fax: (303) 320-2947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 170630 | Colorado |
Profile Details
| NPI number | 1720051055 |
|---|---|
| LBN Legal business name | Wagner, Kathleen T |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Jan 11th, 2013 - about 12 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 | 1720051055 | NPPES |
| Colorado | MEDICAID | 63081253 |
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