Wagner, William
Wagner, William is an sole proprietor health care provider with primary practice located at 9701 Apollo Dr Suite 441, Largo MD 20774-4783. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Wagner, William can be contacted via phone (410) 318-9215.Contact Information
Primary practice address
9701 Apollo Dr Suite 441
Largo MD 20774-4783
Phone: (410) 318-9215
Fax: (240) 764-6741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LC4481 | Maryland |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC4481 | Maryland |
Profile Details
| NPI number | 1386986677 |
|---|---|
| LBN Legal business name | Wagner, William |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 25th, 2013 |
| Last updated | Mar 25th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386986677 | NPPES |
| Maryland | Other | LC4481 | MD LICENSE LC4481 |
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