Wagner, Michael Charles

Wagner, Michael Charles is an sole proprietor health care provider with primary practice located at 170 2Nd St S , Nampa ID 83651-3708. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Wagner, Michael Charles can be contacted via phone (208) 385-3651.

Contact Information

Primary practice address
170 2Nd St S Nampa ID 83651-3708
Phone: (208) 385-3651
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT-1598 Idaho

Profile Details

NPI number 1235585191
LBN Legal business name Wagner, Michael Charles
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2016
Last updated May 10th, 2016 - about 8 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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