Wagner, Sara Jagels

Wagner, Sara Jagels is an individual health care provider with primary practice located at 700 S 320Th St Ste A , Federal Way WA 98003-4691. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wagner, Sara Jagels can be contacted via phone (904) 273-2717.

Contact Information

Primary practice address
700 S 320Th St Ste A Federal Way WA 98003-4691
Phone: (904) 273-2717
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 9103621 Florida

Profile Details

NPI number 1982840526
LBN Legal business name Wagner, Sara Jagels
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2009
Last updated Jun 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982840526 NPPES
Washington MEDICAID 2141807

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