Wagner, Shawn Stephens
Wagner, Shawn Stephens is an individual health care provider with primary practice located at 1333 Taylor St Ste 1C , Columbia SC 29201-2944. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Wagner, Shawn Stephens can be contacted via phone (803) 254-6391.Contact Information
Primary practice address
1333 Taylor St Ste 1C
Columbia SC 29201-2944
Phone: (803) 254-6391
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 1356984751 | South Carolina |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1356984751 |
|---|---|
| LBN Legal business name | Wagner, Shawn Stephens |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2019 |
| Last updated | Sep 8th, 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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