Wagoner, James
Wagoner, James is an individual health care provider with primary practice located at 1800 Cooper Point Rd Sw #21, Olympia WA 98502-1178. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Wagoner, James can be contacted via phone (360) 956-1100.Contact Information
Primary practice address
1800 Cooper Point Rd Sw #21
Olympia WA 98502-1178
Phone: (360) 956-1100
Fax: (360) 956-1113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X |
Profile Details
| NPI number | 1497797120 |
|---|---|
| LBN Legal business name | Wagoner, James |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Jan 16th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497797120 | NPPES |
| Washington | Other | 0211977 | DEPT. OF LABOR & INDUSTRY |
| Washington | Other | 6619WA | DEPT. OF LABOR & INDUSTRY |
| Washington | Other | 8947908 | DEPT. OF LABOR & INDUSTRY |
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