Wagoner, Blair Ellen

Wagoner, Blair Ellen is an individual health care provider with primary practice located at 1001 Monarch St Suite 110, Lexington KY 40513-1495. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Wagoner, Blair Ellen can be contacted via phone (859) 224-0834.

Contact Information

Primary practice address
1001 Monarch St Suite 110 Lexington KY 40513-1495
Phone: (859) 224-0834
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 3141 Arkansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT005412 Kentucky

Profile Details

NPI number 1891939344
LBN Legal business name Wagoner, Blair Ellen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2009
Last updated Apr 9th, 2010 - about 15 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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