Wagoner, Kristen G

Wagoner, Kristen G is an individual health care provider with primary practice located at 1595 S Calumet Rd Suite #3, Chesterton IN 46304-2388. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Wagoner, Kristen G can be contacted via phone (219) 763-6858.

Contact Information

Primary practice address
1595 S Calumet Rd Suite #3 Chesterton IN 46304-2388
Phone: (219) 763-6858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1982057337
LBN Legal business name Wagoner, Kristen G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2016
Last updated Jul 21st, 2016 - about 8 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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