Wagner, Allen

Wagner, Allen is an individual health care provider with primary practice located at 421 22Nd St S , La Crosse WI 54601-5046. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Wagner, Allen can be contacted via phone (608) 782-4575.

Contact Information

Primary practice address
421 22Nd St S La Crosse WI 54601-5046
Phone: (608) 782-4575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 869-125 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3214 Wisconsin

Profile Details

NPI number 1952468936
LBN Legal business name Wagner, Allen
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jan 4th, 2010 - about 16 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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