Wagoner, Shy L
Wagoner, Shy L is an sole proprietor health care provider with primary practice located at 2921 Montvale Dr , Springfield IL 62704-5359. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Wagoner, Shy L can be contacted via phone (217) 787-2700.Contact Information
Primary practice address
2921 Montvale Dr
Springfield IL 62704-5359
Phone: (217) 787-2700
Fax: (217) 787-2715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X |
Profile Details
| NPI number | 1164655452 |
|---|---|
| LBN Legal business name | Wagoner, Shy L |
| Credentials | Certified Surgical Technologist (CST) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2009 |
| Last updated | Feb 17th, 2012 - about 12 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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