Waggoner, Richard K
Waggoner, Richard K is an individual health care provider with primary practice located at 2116 W Faidley Ave Ste 400, Grand Island NE 68803-4671. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Waggoner, Richard K can be contacted via phone (308) 381-0162.Contact Information
Primary practice address
2116 W Faidley Ave Ste 400
Grand Island NE 68803-4671
Phone: (308) 381-0162
Fax: (308) 389-4445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 342000 | Nebraska |
Profile Details
| NPI number | 1386698835 |
|---|---|
| LBN Legal business name | Waggoner, Richard K |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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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