Wagnon, C. Eliska

Wagnon, C. Eliska is an sole proprietor health care provider with primary practice located at 4105 Kirkman St , Lake Charles LA 70607-4603. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wagnon, C. Eliska can be contacted via phone (337) 475-8022.

Contact Information

Primary practice address
4105 Kirkman St Lake Charles LA 70607-4603
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1053459362
LBN Legal business name Wagnon, C. Eliska
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Jul 8th, 2007 - about 17 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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