Wagner, Matthew James

Wagner, Matthew James is an individual health care provider with primary practice located at 3240 Chicago Rd , South Chicago Heights IL 60411-5421. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Wagner, Matthew James can be contacted via phone (708) 756-7775.

Contact Information

Primary practice address
3240 Chicago Rd South Chicago Heights IL 60411-5421
Phone: (708) 756-7775
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051289635 Illinois

Profile Details

NPI number 1316140312
LBN Legal business name Wagner, Matthew James
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Dec 14th, 2012 - 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.

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