Wagoner, Jeanne

Wagoner, Jeanne is an sole proprietor health care provider with primary practice located at 2400 Roxboro Rd , Cleveland Hts OH 44106-3624. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Wagoner, Jeanne can be contacted via phone (216) 320-3136.

Contact Information

Primary practice address
2400 Roxboro Rd Cleveland Hts OH 44106-3624
Phone: (216) 320-3136
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 34778885 Ohio

Profile Details

NPI number 1760880314
LBN Legal business name Wagoner, Jeanne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2014
Last updated Dec 15th, 2014 - about 10 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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