Wagner, Sandra M

Wagner, Sandra M is an individual health care provider with primary practice located at 101 Manning Dr , Chapel Hill NC 27514. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wagner, Sandra M can be contacted via phone (919) 966-4431.

Contact Information

Primary practice address
101 Manning Dr Chapel Hill NC 27514
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 617-023 Wisconsin

Profile Details

NPI number 1922034875
LBN Legal business name Wagner, Sandra M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Mar 6th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922034875 NPPES
Wisconsin Other 2292 DEAN HEALTH INSURANCE
Wisconsin MEDICAID 42935000 DEAN HEALTH INSURANCE

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