Wagoner, Evan Jonathon
Wagoner, Evan Jonathon is an sole proprietor health care provider with primary practice located at 1408 Woodland Hills Trl Apt 204, Wake Forest NC 27587-1778. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wagoner, Evan Jonathon can be contacted via phone (260) 573-1249.Contact Information
Primary practice address
1408 Woodland Hills Trl Apt 204
Wake Forest NC 27587-1778
Phone: (260) 573-1249
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 5176 | North Carolina |
Profile Details
| NPI number | 1710507488 |
|---|---|
| LBN Legal business name | Wagoner, Evan Jonathon |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2020 |
| Last updated | Oct 26th, 2021 - about 3 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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