Wagner, Mark

Wagner, Mark is an sole proprietor health care provider with primary practice located at 600 Cornell Ave , Hagerstown MD 21742-4500. He recently has only one registered license in Other Service Providers / Health Educator, which is considered as his primary health care specialty. Wagner, Mark can be contacted via phone (301) 733-5006.

Contact Information

Primary practice address
600 Cornell Ave Hagerstown MD 21742-4500
Phone: (301) 733-5006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X 0126001123 Virginia

Profile Details

NPI number 1467845487
LBN Legal business name Wagner, Mark
Credentials MS, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2015
Last updated Mar 16th, 2015 - about 11 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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