Wagner, Susan J

Wagner, Susan J is an sole proprietor health care provider with primary practice located at 278 John Tuttle Rd , New Kingston NY 12459. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Wagner, Susan J can be contacted via phone (845) 586-4194.

Contact Information

Primary practice address
278 John Tuttle Rd New Kingston NY 12459
Phone: (845) 586-4194
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1275768558
LBN Legal business name Wagner, Susan J
Credentials COMMUNITY HEALTH WOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2009
Last updated May 15th, 2009 - about 16 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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