Wagner, Michael D
Wagner, Michael D is an sole proprietor health care provider with primary practice located at 807 Pine Ave Nw , Grand Rapids MI 49504-4340. He recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as his primary health care specialty. Wagner, Michael D can be contacted via phone (616) 776-7094.Contact Information
Primary practice address
807 Pine Ave Nw
Grand Rapids MI 49504-4340
Phone: (616) 776-7094
Fax: (616) 776-7094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | AF410387497 | Michigan |
Profile Details
| NPI number | 1336655034 |
|---|---|
| LBN Legal business name | Wagner, Michael D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2017 |
| Last updated | Dec 18th, 2017 - about 7 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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