Wagner, Shawn Carl

Wagner, Shawn Carl is an sole proprietor health care provider with primary practice located at 2545 County Road 218 , Clyde OH 43410-9521. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Wagner, Shawn Carl can be contacted via phone (419) 307-0529.

Contact Information

Primary practice address
2545 County Road 218 Clyde OH 43410-9521
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X

Profile Details

NPI number 1235496639
LBN Legal business name Wagner, Shawn Carl
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2012
Last updated Apr 23rd, 2012 - about 12 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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