Wagner, Megan Nicole
Wagner, Megan Nicole is an individual health care provider with primary practice located at 2200 Randallia Dr , Fort Wayne IN 46805-4638. She recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Wagner, Megan Nicole can be contacted via phone (260) 266-4480.Contact Information
Primary practice address
2200 Randallia Dr
Fort Wayne IN 46805-4638
Phone: (260) 266-4480
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Ambulatory Care | 1835P2201X | 26029474A | Indiana |
Profile Details
| NPI number | 1609532688 |
|---|---|
| LBN Legal business name | Wagner, Megan Nicole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2021 |
| Last updated | Nov 13th, 2021 - about 4 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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