Waggoner, Michael

Waggoner, Michael is an individual health care provider with primary practice located at 802 Oak St , Kenova WV 25530-1519. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Waggoner, Michael can be contacted via phone (304) 939-6901.

Contact Information

Primary practice address
802 Oak St Kenova WV 25530-1519
Phone: (304) 939-6901
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1285408492
LBN Legal business name Waggoner, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2023
Last updated Nov 8th, 2023 - about 2 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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