Wagner, Suzie Nicole

Wagner, Suzie Nicole is an sole proprietor health care provider with primary practice located at 745 Ne 7Th St Suite 3, Grants Pass OR 97526. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Wagner, Suzie Nicole can be contacted via phone (541) 441-1224.

Contact Information

Primary practice address
745 Ne 7Th St Suite 3 Grants Pass OR 97526
Phone: (541) 441-1224
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 11194 North Dakota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 11194 Oregon

Profile Details

NPI number 1578755427
LBN Legal business name Wagner, Suzie Nicole
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2007
Last updated Jan 25th, 2018 - about 6 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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