Wagner, Sydney L

Wagner, Sydney L is an sole proprietor health care provider with primary practice located at 3950 Hollywood Rd , Saint Joseph MI 49085-9159. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Wagner, Sydney L can be contacted via phone (269) 408-9156.

Contact Information

Primary practice address
3950 Hollywood Rd Saint Joseph MI 49085-9159
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 6851115106 Michigan

Profile Details

NPI number 1447982988
LBN Legal business name Wagner, Sydney L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2022
Last updated Jun 24th, 2022 - about 2 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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