Wagner, Amanda
Wagner, Amanda is an individual health care provider with primary practice located at Hc 64 Box 4590 , Marble Hill MO 63764-9408. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Wagner, Amanda can be contacted via phone (573) 866-2010.Contact Information
Primary practice address
Hc 64 Box 4590
Marble Hill MO 63764-9408
Phone: (573) 866-2010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1386238418 |
|---|---|
| LBN Legal business name | Wagner, Amanda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2021 |
| Last updated | Mar 1st, 2021 - about 5 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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