Wagner, Susan M

Wagner, Susan M is an individual health care provider with primary practice located at 85 Pleasant Dr , Hastings MN 55033-1648. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Wagner, Susan M can be contacted via phone (651) 404-1002.

Contact Information

Primary practice address
85 Pleasant Dr Hastings MN 55033-1648
Fax:
Website:

Health care specialties

Profile Details

NPI number 1144337635
LBN Legal business name Wagner, Susan M
Credentials PT, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Apr 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 1144337635 NPPES
Minnesota Other P00366775 RAILROAD MEDICARE

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