Wagner, Michael Dale
Wagner, Michael Dale is an sole proprietor health care provider with primary practice located at 5415 Medallion Dr W , Westerville OH 43082-9194. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Wagner, Michael Dale can be contacted via phone (614) 218-8769.Contact Information
Primary practice address
5415 Medallion Dr W
Westerville OH 43082-9194
Phone: (614) 218-8769
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 4636 | Ohio |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4636 | Ohio |
Profile Details
NPI number | 1760577340 |
---|---|
LBN Legal business name | Wagner, Michael Dale |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 3rd, 2006 |
Last updated | Jun 20th, 2020 - about 5 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.
Popular Providers
-
Murphy, Caroline E
187 W Schrock Rd , Westerville OH 43081-2890 -
Brenner, Diana J
575 Copeland Mill Rd 1E, Westerville OH 43081-8977 -
Shaw, Bethany Ann
167 S State St Suite 100, Westerville OH 43081-2265 -
Michalec, David
187 W Schrock Rd , Westerville OH 43081-2890 -
Wilkins, Jonathan W
187 W Schrock Rd , Westerville OH 43081-2890 -
Weaver, David H
3429 Brazzaville Rd , Westerville OH 43081-4004 -
Hetzel, Ann M.
550 S Cleveland Ave Ste G1 , Westerville OH 43081-8958 -
Norris, Megan Ann
187 W Schrock Rd , Westerville OH 43081-2890