Wagner, Tia J

Wagner, Tia J is an individual health care provider with primary practice located at 317 S Norton St , Marion IN 46952-3296. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wagner, Tia J can be contacted via phone (765) 664-0101.

Contact Information

Primary practice address
317 S Norton St Marion IN 46952-3296
Phone: (765) 664-0101
Fax: (765) 668-8391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 28201834A Indiana

Profile Details

NPI number 1104315704
LBN Legal business name Wagner, Tia J
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2018
Last updated May 9th, 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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