Wagner, Vonda Karla
Wagner, Vonda Karla is an individual health care provider with primary practice located at 2243 Eddie Williams Rd , Johnson City TN 37601-2872. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Wagner, Vonda Karla can be contacted via phone (423) 928-5627.Contact Information
Primary practice address
2243 Eddie Williams Rd
Johnson City TN 37601-2872
Phone: (423) 928-5627
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3674 | Tennessee |
Profile Details
NPI number | 1740450741 |
---|---|
LBN Legal business name | Wagner, Vonda Karla |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 5th, 2008 |
Last updated | Aug 10th, 2016 - about 8 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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