Wagner, Alyse C

Wagner, Alyse C is an individual health care provider with primary practice located at 2125 State St Ste 1 , New Albany IN 47150-4987. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Wagner, Alyse C can be contacted via phone (812) 949-7151.

Contact Information

Primary practice address
2125 State St Ste 1 New Albany IN 47150-4987
Phone: (812) 949-7151
Fax: (812) 949-7191
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 37002830A Indiana

Profile Details

NPI number 1801309489
LBN Legal business name Wagner, Alyse C
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2017
Last updated Nov 6th, 2017 - about 9 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.

Request for update

Popular Providers