Wagner, Patrick A

Wagner, Patrick A is an sole proprietor health care provider with primary practice located at 8424 Naab Rd Ste 1L , Indianapolis IN 46260-1954. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Wagner, Patrick A can be contacted via phone (317) 338-7780.

Contact Information

Primary practice address
8424 Naab Rd Ste 1L Indianapolis IN 46260-1954
Phone: (317) 338-7780
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20010493A Indiana

Profile Details

NPI number 1902804446
LBN Legal business name Wagner, Patrick A
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2005
Last updated Sep 8th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902804446 NPPES
Indiana MEDICAID 100073410

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